| Daniel Paredes, DPT | |
|
1690 Us Highway 1 S Ste F, St Augustine, FL 32084-6024 | |
| (904) 634-0640 | |
| (904) 634-0203 |
| Full Name | Daniel Paredes |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1690 Us Highway 1 S Ste F, St Augustine, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992568109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | PT41345 (Florida) | Primary |
| Provider Name | Southeast Orthopedic Specialists Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1629025820 PECOS PAC ID: 1456246974 Enrollment ID: O20040216000301 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Paredes, DPT 6800 Southpoint Pkwy Ste 300, Jacksonville, FL 32216-8203 Ph: (904) 634-0640 | Daniel Paredes, DPT 1690 Us Highway 1 S Ste F, St Augustine, FL 32084-6024 Ph: (904) 634-0640 |
Angela Marie Cicchino, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 University Blvd, St Augustine, FL 32086 Phone: 904-829-3411 Fax: 904-829-3412 | |
Mr. Stephen A Vighetti, PT, MTC, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4020 Grande Vista Blvd, #114, St Augustine, FL 32084 Phone: 904-315-3416 | |
Dr. David Anthony Eldridge, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Orthopaedic Pl, St Augustine, FL 32086 Phone: 904-825-0540 Fax: 904-825-2490 | |
Erica J Kiernan, PT/OT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 Mariner Health Way, Ste 213, St Augustine, FL 32086 Phone: 904-217-4259 Fax: 904-217-4251 | |
Jerry Worley, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 245 Wildwood Dr, # 144, St Augustine, FL 32086 Phone: 904-687-9880 | |
Joseph R Edwards, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 968 Espinado Avenue, St Augustine, FL 32086 Phone: 954-805-0655 | |
Kaleb Griffel, DPT PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1 University Blvd, St Augustine, FL 32086 Phone: 904-829-3411 Fax: 904-829-3412 |