Ryan Moulton, | |
621 E Alexander St, Plant City, FL 33563-7126 | |
(813) 707-1509 | |
Not Available |
Full Name | Ryan Moulton |
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Gender | Male |
Speciality | Physical Therapist |
Location | 621 E Alexander St, Plant City, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902282825 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT30602 (Florida) | Primary |
Provider Name | Qrm Plus Florida Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1851061394 PECOS PAC ID: 8729479563 Enrollment ID: O20220105000497 |
Mailing Address | Practice Location Address |
---|---|
Ryan Moulton, 621 E Alexander St, Plant City, FL 33563-7126 Ph: (813) 707-1509 | Ryan Moulton, 621 E Alexander St, Plant City, FL 33563-7126 Ph: (813) 707-1509 |
Benjamin Johnson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 621 E Alexander St, Plant City, FL 33563 Phone: 813-707-1509 | |
Nicole C Himmelman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 765 W Grant St, Plant City, FL 33563 Phone: 813-743-3701 | |
Nicole Downey Edwards, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2051 Walden Woods Dr, Plant City, FL 33563 Phone: 813-540-9683 | |
Mr. Anthony Carl Marcket, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 511 W Alexander St, Plant City, FL 33563 Phone: 813-754-2309 Fax: 813-754-2630 | |
Krupa Patel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3063 Sutton Woods Dr, Plant City, FL 33566 Phone: 813-708-3243 | |
Keith Roman Kolakowski, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 110 W Reynolds St Ste 211, Plant City, FL 33563 Phone: 813-754-0668 Fax: 813-757-0194 | |
Ms. Monina R Vecina, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1507 S Alexander St, Suite 102, Plant City, FL 33563 Phone: 813-759-0106 Fax: 813-759-0161 |