| |
9028 Sw 152nd St, Palmetto Bay, FL 33157-1928 | |
(305) 661-1612 | |
(305) 661-1613 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 9028 Sw 152nd St, Palmetto Bay, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932457157 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Provider Name | Nelson M Aviles |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1437102134 PECOS PAC ID: 6103820964 Enrollment ID: I20060908000379 |
Provider Name | Michele Gust |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1639227408 PECOS PAC ID: 0143490656 Enrollment ID: I20110818000771 |
Mailing Address | Practice Location Address |
---|---|
9028 Sw 152nd St, Palmetto Bay, FL 33157-1928 Ph: (305) 661-1612 | 9028 Sw 152nd St, Palmetto Bay, FL 33157-1928 Ph: (305) 661-1612 |