| Caroline Cubero, | |
|
141 Coconut Dr, Indialantic, FL 32903-2607 | |
| (321) 610-3989 | |
| Not Available |
| Full Name | Caroline Cubero |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 141 Coconut Dr, Indialantic, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467954669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (Florida) | Primary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Viera Hospital | Melbourne, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 3d Sports Medicine And Joint Center Inc | 3173846110 | 3 |
| H2 Rehabilitation Services Of Florida Llc | 3971411851 | 257 |
| Entity Name | 3D Sports Medicine & Joint Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316351372 PECOS PAC ID: 3173846110 Enrollment ID: O20141229000141 |
| Mailing Address | Practice Location Address |
|---|---|
| Caroline Cubero, 480 Mohawk Trl, Merritt Island, FL 32953-7820 Ph: (321) 652-4332 | Caroline Cubero, 141 Coconut Dr, Indialantic, FL 32903-2607 Ph: (321) 610-3989 |
Mrs. Lisa Marie Johnson, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 150 5th Ave Ste A, Indialantic, FL 32903 Phone: 321-254-6803 Fax: 321-254-6819 |
Elizabeth Adams, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 107 S Riverside Pl, Indialantic, FL 32903 Phone: 321-378-1207 |
Dale Phillip Greyslak, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3491 Titanic Cir, Indialantic, FL 32903 Phone: 407-451-0192 |
Casey Robert Runte, Physician Assistant Medicare: Medicare Enrolled Practice Location: 141 Coconut Dr, Indialantic, FL 32903 Phone: 321-610-8939 |
Maxwell Clark Poling, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 420 5th Ave, Indialantic, FL 32903 Phone: 321-312-1352 Fax: 321-312-1513 |