| Vannesa Joy Tarectecan Villegas, | |
|
410 W Gulf Atlantic Hwy, Wildwood, FL 34785-7301 | |
| (352) 259-2159 | |
| Not Available |
| Full Name | Vannesa Joy Tarectecan Villegas |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 410 W Gulf Atlantic Hwy, Wildwood, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184748105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | PT22906 (Florida) | Primary |
| 171W00000X | Contractor | 05008245A (Indiana) | Secondary |
| Provider Name | Premier Medical Associates Of Florida Healthcare, Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1023612827 PECOS PAC ID: 6800200940 Enrollment ID: O20210201000388 |
| Mailing Address | Practice Location Address |
|---|---|
| Vannesa Joy Tarectecan Villegas, 5980 W 71st St Ste 201, Indianapolis, IN 46278-1785 Ph: (317) 388-0800 | Vannesa Joy Tarectecan Villegas, 410 W Gulf Atlantic Hwy, Wildwood, FL 34785-7301 Ph: (352) 259-2159 |
Active Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 5563 E Sr 44 Unit 6, Wildwood, FL 34785 Phone: 352-205-9897 | |
Fyzical The Villages Physical Therapist Medicare: Medicare Enrolled Practice Location: 3990 E Sr 44 Ste 201, Wildwood, FL 34785 Phone: 352-205-5195 | |
Kimberly York, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7676 Rio Grande Blvd, Wildwood, FL 34785 Phone: 352-330-6281 | |
Mrs. Landria Adams, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 409 S Main St, Wildwood, FL 34785 Phone: 352-330-1154 Fax: 352-330-1004 | |
Angel L Casul Nogueras, DPT, CMTPT-FFT Physical Therapist Medicare: Medicare Enrolled Practice Location: 8586 Triumph Cir, Wildwood, FL 34785 Phone: 787-405-1152 | |
Robbin L Truett, Physical Therapist Medicare: Medicare Enrolled Practice Location: 410 W Gulf Atlantic Hwy, Wildwood, FL 34785 Phone: 352-259-2159 |