| Jeannette Maria Icaza, | |
|
112 S Federal Hwy, Dania Beach, FL 33004-3623 | |
| (954) 456-3511 | |
| Not Available |
| Full Name | Jeannette Maria Icaza |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 112 S Federal Hwy, Dania 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 |
|---|---|---|---|
| 1851538706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT24207 (Florida) | Primary |
| Provider Name | Lymphatx Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1275740995 PECOS PAC ID: 4183647134 Enrollment ID: O20070523000186 |
| Provider Name | Fox Rehab Pt Fl Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1336719624 PECOS PAC ID: 7416345921 Enrollment ID: O20211102000699 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeannette Maria Icaza, 1040 Se 7th Ct Apt 304, Dania Beach, FL 33004-5308 Ph: () - | Jeannette Maria Icaza, 112 S Federal Hwy, Dania Beach, FL 33004-3623 Ph: (954) 456-3511 |
Mr. Daniele B D'ambrosio, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 966 Nautilus Isle, Dania Beach, FL 33004 Phone: 954-476-5928 Fax: 954-530-7240 | |
Deanna Ally, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 619 E Sheridan St Apt 205, Dania Beach, FL 33004 Phone: 954-683-9823 | |
Prida Maylor, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2962 Sw 26th Terrace, Suite 105, Dania Beach, FL 33312 Phone: 305-333-4254 | |
Michelle Joanne Parente, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 550 Se 4th Ct, Dania Beach, FL 33004 Phone: 954-925-7034 Fax: 954-925-7034 | |
Kelsey Littlefield, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 311 Se 4th Ter, Dania Beach, FL 33004 Phone: 757-617-6511 | |
Mrs. Joan Epifanio Campbell, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 550 Se 4th Ct, Dania Beach, FL 33004 Phone: 954-925-7034 | |
George Parente, PHYSICAL THERAPY Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 550 Se 4th Ct, Dania Beach, FL 33004 Phone: 954-922-0501 Fax: 954-922-0501 |