| Andrea Carolina Pena, | |
|
213 Preserve Ct, Royal Palm Beach, FL 33411-1575 | |
| (561) 215-7558 | |
| Not Available |
| Full Name | Andrea Carolina Pena |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 213 Preserve Ct, Royal Palm Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356018253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT34855 (Florida) | Primary |
| Provider Name | Florida Luna Care Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1114542032 PECOS PAC ID: 3779991559 Enrollment ID: O20210415001126 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Carolina Pena, 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020-8096 Ph: (385) 308-8034 | Andrea Carolina Pena, 213 Preserve Ct, Royal Palm Beach, FL 33411-1575 Ph: (561) 215-7558 |
Dr. Ryan Butz, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 106 Ponce De Leon St # 1213, Royal Palm Beach, FL 33411 Phone: 561-791-9090 | |
Timothy A Russell, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11482 Okeechobee Blvd, Suite 2, Royal Palm Beach, FL 33411 Phone: 561-432-0111 Fax: 561-432-1075 | |
Johanne Andre Kalile Pa Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1183 Oakwater Dr, Royal Palm Beach, FL 33411 Phone: 561-762-9731 Fax: 561-214-4494 | |
Miss Kimberly Sue Wah, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11947 Southern Blvd, Royal Palm Beach, FL 33411 Phone: 561-204-2213 Fax: 561-204-2218 | |
Action Physical Therapy, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 106 Ponce De Leon St, Royal Palm Beach, FL 33411 Phone: 561-791-9090 Fax: 561-791-9071 | |
David L Pinero, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 11482 Okeechobee Blvd Ste 2, Royal Palm Beach, FL 33411 Phone: 561-432-0111 | |
Jupiter West Medical Center, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 106 Ponce De Leon St, Royal Palm Beach, FL 33411 Phone: 561-791-9090 Fax: 561-791-9071 |