| Maxca Inc | |
|
1800 Cortez Rd W Ste C, Bradenton, FL 34207-1335 | |
| (941) 870-7473 | |
| (941) 870-4915 |
| Full Name | Maxca Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1800 Cortez Rd W Ste C, Bradenton, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669110474 | NPI | - | NPPES |
| PT13467 | Other | FL | FL MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Pablo E Der Boghossian |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922158484 PECOS PAC ID: 8224003975 Enrollment ID: I20040827000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Maxca Inc Po Box 5887, Sarasota, FL 34277-5887 Ph: (941) 350-2239 | Maxca Inc 1800 Cortez Rd W Ste C, Bradenton, FL 34207-1335 Ph: (941) 870-7473 |
Dr. Michael I. Fazio, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7844 Ashley Cir, Bradenton, FL 34201 Phone: 941-993-8494 | |
Little Steps Pediatric Therapy, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9020 Willowbrook Cir, Bradenton, FL 34212 Phone: 315-794-1742 | |
Rodney G Mendoza, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9085 Town Center Pkwy, Bradenton, FL 34202 Phone: 609-553-5150 | |
Kelly Elisabeth Swenson Hall, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3915 8th Ave W, Bradenton, FL 34205 Phone: 941-747-7741 Fax: 941-747-1431 | |
Mark Charles Pellman Jr., Physical Therapist Medicare: Medicare Enrolled Practice Location: 3657 Cortez Rd W Ste 110, Bradenton, FL 34210 Phone: 941-739-7828 Fax: 941-739-7838 | |
Victor Anton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11809 Hollyhock Dr, Bradenton, FL 34202 Phone: 941-727-5588 Fax: 941-727-5588 | |
Ms. Kimberly G Kraft, PT CHT Physical Therapist Medicare: Medicare Enrolled Practice Location: 8000 Sr 64 E, Bradenton, FL 34212 Phone: 941-792-1404 Fax: 941-761-0712 |