Pelvic Care Specialists Corp | |
15485 Eagle Nest Ln Ste 120, Miami Lakes, FL 33014-2221 | |
(305) 417-0158 | |
(305) 602-8929 |
Full Name | Pelvic Care Specialists Corp |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 15485 Eagle Nest Ln Ste 120, Miami Lakes, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265817563 | NPI | - | NPPES |
008147100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT27752 (Florida) | Primary |
Provider Name | Gloria Patricia Choperena |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1992044010 PECOS PAC ID: 6305077405 Enrollment ID: I20180320002949 |
Mailing Address | Practice Location Address |
---|---|
Pelvic Care Specialists Corp 15485 Eagle Nest Ln Ste 120, Miami Lakes, FL 33014-2221 Ph: (305) 417-0158 | Pelvic Care Specialists Corp 15485 Eagle Nest Ln Ste 120, Miami Lakes, FL 33014-2221 Ph: (305) 417-0158 |
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