| Cole Mickens, | |
|
2305 Killearn Center Blvd Apt D74, Tallahassee, FL 32309-3526 | |
| (229) 421-2965 | |
| Not Available |
| Full Name | Cole Mickens |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 2305 Killearn Center Blvd Apt D74, Tallahassee, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831885003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | 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 |
|---|---|
| Cole Mickens, 101 E State St, Kennett Square, PA 19348-3109 Ph: () - | Cole Mickens, 2305 Killearn Center Blvd Apt D74, Tallahassee, FL 32309-3526 Ph: (229) 421-2965 |
Sonya F Hadley, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1803 Miccosukee Commons Dr, Suite 202, Tallahassee, FL 32308 Phone: 850-402-0200 Fax: 850-402-0564 | |
Dr. Michael Allen Reetz Jr., PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2819 Capital Medical Blvd, Tallahassee, FL 32308 Phone: 850-325-5269 | |
Dr. Evelyn Shackleford Dowery, DOCTOR OF EDUCATION Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3445 Paces Ferry Rd, Tallahassee, FL 32309 Phone: 850-893-4096 | |
Erin Mccrea, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3334 Capital Medical Blvd., Suite 300, Tallahassee, FL 32308 Phone: 850-877-8855 Fax: 850-877-7627 | |
Stacy Warren, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3334 Capital Medical Blvd Ste 300, Tallahassee, FL 32308 Phone: 850-877-8174 Fax: 850-877-5636 | |
Jenna L Nienaber, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2410 W Plaza Dr, Tallahassee, FL 32308 Phone: 850-385-6185 Fax: 850-385-2580 | |
Kaitlin Jeanis, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3101 Ginger Dr, Tallahassee, FL 32308 Phone: 850-877-2177 |