| Marlo Blasko, | |
|
8569 Pines Blvd Ste 209, Pembroke Pines, FL 33024-6620 | |
| (954) 538-8588 | |
| Not Available |
| Full Name | Marlo Blasko |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist - Pediatrics |
| Location | 8569 Pines Blvd Ste 209, Pembroke Pines, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588427736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT41308 (Florida) | Secondary |
| 2251P0200X | Physical Therapist - Pediatrics | PT41308 (Florida) | Primary |
| Provider Name | Palm Beach Aquatics & Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841263464 PECOS PAC ID: 9234184912 Enrollment ID: O20050315000934 |
| Mailing Address | Practice Location Address |
|---|---|
| Marlo Blasko, 322 N Federal Hwy Apt 224, Deerfield Beach, FL 33441-2203 Ph: (954) 729-8337 | Marlo Blasko, 8569 Pines Blvd Ste 209, Pembroke Pines, FL 33024-6620 Ph: (954) 538-8588 |
Monica Odalmis Gonzalez, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16192 Nw 14th Ct, Pembroke Pines, FL 33028 Phone: 954-260-6428 | |
Zanaba Goins, DR Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17796 Sw 2nd St, Pembroke Pines, FL 33029 Phone: 954-438-7800 | |
Ms. Joan Hudson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17900 Nw 5th St, Suite 103, Pembroke Pines, FL 33029 Phone: 954-435-9905 Fax: 954-435-3769 | |
Mrs. Lina Maria Peterson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10794 Pines Blvd, Pembroke Pines, FL 33026 Phone: 954-447-0296 Fax: 954-447-3131 | |
Mr. Roberto Mcgrath, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17796 Sw 2nd St, Pembroke Pines, FL 33029 Phone: 954-438-7800 | |
Justine Fradillada, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10261 Pines Blvd, Pembroke Pines, FL 33026 Phone: 954-356-2878 | |
Dr. Joshua Tyler Fernandez-rubio, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 454 N University Dr, Pembroke Pines, FL 33024 Phone: 954-443-1926 |