Randall Sheffield, | |
5535 S Williamson Blvd Ste 774, Port Orange, FL 32128-8321 | |
(888) 265-2680 | |
Not Available |
Full Name | Randall Sheffield |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 5535 S Williamson Blvd Ste 774, Port Orange, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770138760 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT34203 (Florida) | Secondary |
225100000X | Physical Therapist | PT5413 (New Mexico) | Primary |
Provider Name | Key West Chiropractic Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1477667129 PECOS PAC ID: 0143228015 Enrollment ID: O20070111000215 |
Mailing Address | Practice Location Address |
---|---|
Randall Sheffield, 15 Apex Dr, Highland, IL 62249-1282 Ph: (618) 651-0444 | Randall Sheffield, 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128-8321 Ph: (888) 265-2680 |
Erin Kwiatkowski, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd, Port Orange, FL 32128 Phone: 888-265-2680 | |
Mr. Jack Verhees, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4904 S Clyde Morris Blvd, Ste D2, Port Orange, FL 32129 Phone: 386-898-0908 Fax: 386-898-0242 | |
Amanda Owen, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd, Suite 774, Port Orange, FL 32128 Phone: 386-756-4395 Fax: 386-944-7202 | |
Megan Christiansen, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd, Suite 774, Port Orange, FL 32128 Phone: 800-330-7711 | |
Spencer Swift, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd, Suite 774, Port Orange, FL 32128 Phone: 386-756-4395 Fax: 386-944-7202 | |
Ratree Lertkitcharoenpon, PT,DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4649 Clyde Morris Blvd Unit 607, Port Orange, FL 32129 Phone: 386-256-3860 | |
Lee Ann Magiera, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128 Phone: 888-265-2680 |