| |
2804 Ne 8th St Ste 203, Homestead, FL 33033-5613 | |
(305) 570-1666 | |
(305) 203-0546 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center |
Location | 2804 Ne 8th St Ste 203, Homestead, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417414939 | NPI | - | NPPES |
PT19324 | Other | FL | MEDICAL LICENSE |
Provider Name | Maureen L Moder |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1679541262 PECOS PAC ID: 4284957879 Enrollment ID: I20150107001193 |
Provider Name | Karina L Gass |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1063941367 PECOS PAC ID: 5496167876 Enrollment ID: I20201208002141 |
Provider Name | Melissa G Delasota |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1346823713 PECOS PAC ID: 9133528599 Enrollment ID: I20210604001509 |
Mailing Address | Practice Location Address |
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2804 Ne 8th St Ste 203, Homestead, FL 33033-5613 Ph: (305) 570-1666 | 2804 Ne 8th St Ste 203, Homestead, FL 33033-5613 Ph: (305) 570-1666 |