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2100 E Hallandale Beach Blvd Ste 101b, Hallandale Beach, FL 33009-3722 | |
| (954) 362-7254 | |
| Not Available |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Clinic/center |
| Location | 2100 E Hallandale Beach Blvd Ste 101b, Hallandale Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689394975 | NPI | - | NPPES |
| 26998 | Other | FL | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Gaspara Barditch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760653661 PECOS PAC ID: 5395816326 Enrollment ID: I20080619000306 |
| Provider Name | Maureen L Moder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679541262 PECOS PAC ID: 4284957879 Enrollment ID: I20150107001193 |
| Provider Name | Jesse P Solotoff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316214455 PECOS PAC ID: 3375869688 Enrollment ID: I20150421000302 |
| Provider Name | Karina L Gass |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063941367 PECOS PAC ID: 5496167876 Enrollment ID: I20201208002141 |
| Mailing Address | Practice Location Address |
|---|---|
2100 E Hallandale Beach Blvd Ste 101b, Hallandale Beach, FL 33009-3722 Ph: (954) 362-7254 | 2100 E Hallandale Beach Blvd Ste 101b, Hallandale Beach, FL 33009-3722 Ph: (954) 362-7254 |