Paulo Homero Sicangco, PT | |
7749 Normandy Blvd Ste 147, Jacksonville, FL 32221-7658 | |
(904) 786-5676 | |
Not Available |
Full Name | Paulo Homero Sicangco |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 3 Years |
Location | 7749 Normandy Blvd Ste 147, Jacksonville, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376218172 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Genesis Health Development Inc | 4183538614 | 31 |
Provider Name | Genesis Health Development Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1033154992 PECOS PAC ID: 4183538614 Enrollment ID: O20140429000503 |
Mailing Address | Practice Location Address |
---|---|
Paulo Homero Sicangco, PT 2950 Montilla Dr, Jacksonville, FL 32246-5526 Ph: (904) 805-3455 | Paulo Homero Sicangco, PT 7749 Normandy Blvd Ste 147, Jacksonville, FL 32221-7658 Ph: (904) 786-5676 |
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