| |
500 N Semoran Blvd Ste 101, Orlando, FL 32807-3381 | |
(407) 214-6333 | |
(407) 214-9011 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center |
Location | 500 N Semoran Blvd Ste 101, Orlando, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841885688 | NPI | - | NPPES |
PT35778 | Other | FL | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Diana Echavarria |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1538779889 PECOS PAC ID: 7810301553 Enrollment ID: I20210120003236 |
Provider Name | Nicholas J Paniati |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1861174906 PECOS PAC ID: 8820445711 Enrollment ID: I20231115000487 |
Mailing Address | Practice Location Address |
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5154 Conway Rd, Orlando, FL 32812-1252 Ph: (407) 214-6333 | 500 N Semoran Blvd Ste 101, Orlando, FL 32807-3381 Ph: (407) 214-6333 |