| Elizabeth A Formy-duval, OT | |
|
5831 Bee Ridge Rd Ste 300, Sarasota, FL 34233-5090 | |
| (941) 378-5100 | |
| (941) 960-1962 |
| Full Name | Elizabeth A Formy-duval |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 5831 Bee Ridge Rd Ste 300, Sarasota, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578687117 | NPI | - | NPPES |
| OT6623 | Other | FL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT6623 (Florida) | Primary |
| 225XH1200X | Occupational Therapist - Hand | OT6623 (Florida) | Secondary |
| Provider Name | Sds Medical, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1407323561 PECOS PAC ID: 0547501736 Enrollment ID: O20190417000781 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth A Formy-duval, OT 5831 Bee Ridge Rd Ste 300, Sarasota, FL 34233-5090 Ph: (941) 782-0102 | Elizabeth A Formy-duval, OT 5831 Bee Ridge Rd Ste 300, Sarasota, FL 34233-5090 Ph: (941) 378-5100 |
Reagan Kendall Garcia, OTD OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5381 Desoto Rd, Sarasota, FL 34235 Phone: 941-355-6111 | |
Miss Lauren Alana Favorito, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3938 S Tamiami Trl, Sarasota, FL 34231 Phone: 866-989-1114 Fax: 866-989-1114 | |
Maureen O'brien, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1003 Marlin Lakes Cir Apt 111, Sarasota, FL 34232 Phone: 215-499-4588 | |
Functional Transformation Llc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2201 Cantu Ct Ste 109, Sarasota, FL 34232 Phone: 941-830-3749 | |
Kathy Perry, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6910 Friendship Dr, Sarasota, FL 34241 Phone: 941-371-1141 | |
Lexie Lundquist, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2201 Cantu Ct Ste 109, Sarasota, FL 34232 Phone: 941-371-1185 | |
Ms. Saloni Patel, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1700 S Tamiami Trl, Sarasota, FL 34239 Phone: 941-917-7333 |