| Pathway Pt Llc | |
|
2888 Ringling Blvd Unit Cd Sarasota FL 34237-5331 | |
| (867) 270-6853 | |
| Not Available |
| Full Name | Pathway Pt Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2888 Ringling Blvd Unit Cd, Sarasota, Florida |
| Authorized Official Name and Position | Carlos Lorenzo Acutin (PRESIDENT / OWNER) |
| Authorized Official Contact | 7862706853 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathway Pt Llc 2888 Ringling Blvd Unit Cd Sarasota FL 34237-5331 Ph: (786) 270-6853 | Pathway Pt Llc 2888 Ringling Blvd Unit Cd Sarasota FL 34237-5331 Ph: (867) 270-6853 |
| NPI Number | 1508546557 |
|---|---|
| Provider Enumeration Date | 07/24/2023 |
| Last Update Date | 10/06/2023 |
| Medicare PECOS PAC ID | 6800241506 |
|---|---|
| Medicare Enrollment ID | O20231016003167 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508546557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| Provider Name | Marlon Chuah Birrey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528390242 PECOS PAC ID: 1254578594 Enrollment ID: I20130506000378 |
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