| Manali Patel, DPT | |
|
23012 State Road 54 Ste 509, Lutz, FL 33549-6958 | |
| (813) 536-0129 | |
| Not Available |
| Full Name | Manali Patel |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist - Orthopedic |
| Location | 23012 State Road 54 Ste 509, Lutz, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073145223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | PT34169 (Florida) | 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 |
|---|---|
| Manali Patel, DPT 23012 State Road 54 Ste 509, Lutz, FL 33549-6958 Ph: Not Available | Manali Patel, DPT 23012 State Road 54 Ste 509, Lutz, FL 33549-6958 Ph: (813) 536-0129 |
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