Zachary Robert Colls, PT, DPT, CSCS, USA-W | |
16200 Nw 59th Ave Ste 107, Miami Lakes, FL 33014-7541 | |
(757) 262-8902 | |
Not Available |
Full Name | Zachary Robert Colls |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 16200 Nw 59th Ave Ste 107, Miami Lakes, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255986519 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 34929 (Florida) | Primary |
Provider Name | Usa Sports Medicine Miami Lakes Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1174262224 PECOS PAC ID: 2466819917 Enrollment ID: O20230530000001 |
Mailing Address | Practice Location Address |
---|---|
Zachary Robert Colls, PT, DPT, CSCS, USA-W 16200 Nw 59th Ave Ste 107, Miami Lakes, FL 33014-7541 Ph: (757) 262-8902 | Zachary Robert Colls, PT, DPT, CSCS, USA-W 16200 Nw 59th Ave Ste 107, Miami Lakes, FL 33014-7541 Ph: (757) 262-8902 |
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