Sia Medical Center Corp | |
12811 Kenwood Ln Ste 105, Fort Myers, FL 33907-5643 | |
(305) 833-9690 | |
Not Available |
Full Name | Sia Medical Center Corp |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 12811 Kenwood Ln Ste 105, Fort Myers, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669062691 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
Provider Name | Darelys A Ruiz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942697560 PECOS PAC ID: 0345561106 Enrollment ID: I20150604001586 |
Mailing Address | Practice Location Address |
---|---|
Sia Medical Center Corp 12811 Kenwood Ln Ste 105, Fort Myers, FL 33907-5643 Ph: (305) 833-9690 | Sia Medical Center Corp 12811 Kenwood Ln Ste 105, Fort Myers, FL 33907-5643 Ph: (305) 833-9690 |
Jeremy Beasley, PT,DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13010 Metro Pkwy, Fort Myers, FL 33966 Phone: 239-561-5616 | |
Dr. Jorie Schinella, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4550 Colonial Blvd, Fort Myers, FL 33966 Phone: 239-931-5700 | |
Zulai Gretz, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2525 First St, Fort Myers, FL 33901 Phone: 239-425-2255 | |
Jill Ivory Collins, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14421 Metropolis Ave Ste 103, Fort Myers, FL 33912 Phone: 239-561-2778 Fax: 239-561-8107 | |
Brandon Edwards, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 15751 San Carlos Blvd Ste 4, Fort Myers, FL 33908 Phone: 239-337-2739 | |
Heidi Lynn Lecius, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8710 College Pkwy, Fort Myers, FL 33919 Phone: 239-482-8788 Fax: 239-482-1566 | |
Mr. John Var Andoy Estorco, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14630 Palm Beach Blvd, Suite 6, Fort Myers, FL 33905 Phone: 239-690-3100 Fax: 239-693-3200 |