| Fernando Soutullo, PT | |
|
600 Nw 35th Ave Ste 100, Miami, FL 33125-4000 | |
| (866) 699-4222 | |
| Not Available |
| Full Name | Fernando Soutullo |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 33 Years |
| Location | 600 Nw 35th Ave Ste 100, Miami, 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 |
|---|---|---|---|
| 1346257805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 41255 (California) | Secondary |
| 225100000X | Physical Therapist | 19318 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Php Mental Health Center Inc | 9830535939 | 8 |
| Wound Care Specialists West Coast Inc | 7810258365 | 3 |
| Family Health Community Inc | 3577964956 | 12 |
| Provider Name | Wound Care Specialists West Coast Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1598159758 PECOS PAC ID: 7810258365 Enrollment ID: O20180227000316 |
| Provider Name | Family Health Community Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1851994628 PECOS PAC ID: 3577964956 Enrollment ID: O20210623000139 |
| Provider Name | Community Choice Health Network Corp |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1437758364 PECOS PAC ID: 7911398607 Enrollment ID: O20220107001242 |
| Provider Name | Php Mental Health Center Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1821876343 PECOS PAC ID: 9830535939 Enrollment ID: O20240312001288 |
| Mailing Address | Practice Location Address |
|---|---|
| Fernando Soutullo, PT 8224 Harding Ave Apt 3, Miami Beach, FL 33141-5213 Ph: (786) 306-0778 | Fernando Soutullo, PT 600 Nw 35th Ave Ste 100, Miami, FL 33125-4000 Ph: (866) 699-4222 |
Mr. Paul Mario Ramos, R.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14440 Sw 93rd Ct, Miami, FL 33176 Phone: 305-799-1084 |
Kinetic Rehab Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 13349 Sw 122nd Ave, Miami, FL 33186 Phone: 786-201-1703 Fax: 786-573-3619 |
Zerquera Integrative Medical Institute Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9220 Sw 72nd St Ste 105, Miami, FL 33173 Phone: 305-274-4351 Fax: 305-274-1455 |
Ms. Desaly Daniella Gonzalez, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9619 S Dixie Hwy, Miami, FL 33156 Phone: 305-722-0568 Fax: 305-670-0899 |
Cristina Maria Pappas, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9524 Sw 118th Pl, Miami, FL 33186 Phone: 305-283-4669 |
Physical Therapy Now Allapattah Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2060 Nw 22nd Ave Ste L5, Miami, FL 33142 Phone: 786-703-7074 |
Mariolys Goenaga, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2711 Sw 137th Ave Ste 94b, Miami, FL 33175 Phone: 786-454-6038 |