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3399 Nw 72nd Ave Ste 106 Miami FL 33122-1339 | |
| (305) 570-1666 | |
| (305) 203-0546 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 3399 Nw 72nd Ave Ste 106, Miami, Florida |
| Authorized Official Name and Position | Andres Zapata (OWNER) |
| Authorized Official Contact | 3052445883 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
3399 Nw 72nd Ave Ste 106 Miami FL 33122-1339 Ph: (305) 570-1666 | 3399 Nw 72nd Ave Ste 106 Miami FL 33122-1339 Ph: (305) 570-1666 |
| NPI Number | 1093582686 |
|---|---|
| Provider Enumeration Date | 12/05/2023 |
| Last Update Date | 01/25/2024 |
| Medicare PECOS PAC ID | 9931540051 |
|---|---|
| Medicare Enrollment ID | O20240507003155 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093582686 | NPI | - | NPPES |
| OT11471 | Other | FL | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| Provider Name | Andres F Zapata |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750328316 PECOS PAC ID: 1759357726 Enrollment ID: I20040909001378 |
| Provider Name | Cristina Blanco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407278815 PECOS PAC ID: 4284867292 Enrollment ID: I20140428001635 |
| Provider Name | Maureen L Moder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679541262 PECOS PAC ID: 4284957879 Enrollment ID: I20150107001193 |
| Provider Name | Karina L Gass |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063941367 PECOS PAC ID: 5496167876 Enrollment ID: I20201208002141 |
| Provider Name | Thomas H Pineiro |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265023212 PECOS PAC ID: 5991110256 Enrollment ID: I20210218000936 |
| Provider Name | Kai S Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942737952 PECOS PAC ID: 1759659501 Enrollment ID: I20210324002235 |
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