Blair Gaston, | |
5535 Cypress Gardens Blvd Ste 260, Winter Haven, FL 33884-2241 | |
(863) 877-0605 | |
Not Available |
Full Name | Blair Gaston |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 4 Years |
Location | 5535 Cypress Gardens Blvd Ste 260, Winter Haven, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487260790 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT36044 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Optimal Performance And Physical Therapies Winter Haven, Llc | 2466784616 | 5 |
Provider Name | Optimal Performance & Physical Therapies Winter Haven, Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1336709369 PECOS PAC ID: 2466784616 Enrollment ID: O20191022000121 |
Mailing Address | Practice Location Address |
---|---|
Blair Gaston, 21756 State Road 54 Ste 102, Lutz, FL 33549-2905 Ph: () - | Blair Gaston, 5535 Cypress Gardens Blvd Ste 260, Winter Haven, FL 33884-2241 Ph: (863) 877-0605 |
Maria Babanto Abestano, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4715 Summerfield Cir, Winter Haven, FL 33881 Phone: 850-902-1134 | |
Briana Sturgis, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 507 Avenue K Ne, Winter Haven, FL 33881 Phone: 863-258-8775 | |
Mr. Edwin Munoz Soriano, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 141 Avenue C Sw, Suite 150, Winter Haven, FL 33880 Phone: 863-293-3700 Fax: 863-292-0417 | |
William Fabian, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1601 6th St Se, Winter Haven, FL 33880 Phone: 863-294-0350 Fax: 863-294-0381 | |
Miss Riza S. Baluyut, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 950 1st St S, Winter Haven, FL 33880 Phone: 863-293-7778 Fax: 863-299-3836 | |
Emily Ebner, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1601 6th St Se Ste B, Winter Haven, FL 33880 Phone: 863-294-0350 | |
Velocity Rehab Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 250 3rd St Nw, Suite 202, Winter Haven, FL 33881 Phone: 863-535-1071 Fax: 863-595-1073 |