| Mr Jedryk Alan Codamon Quitzon, PT | |
|
1580 Sawgrass Corporate Pkwy Ste 200, Sunrise, FL 33323-2869 | |
| (954) 296-4748 | |
| Not Available |
| Full Name | Mr Jedryk Alan Codamon Quitzon |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1580 Sawgrass Corporate Pkwy Ste 200, Sunrise, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558857029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Sportsmed Pt Of Connecticut Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1609441534 PECOS PAC ID: 5395134852 Enrollment ID: O20211123000473 |
| Provider Name | Mj-ct Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1659152650 PECOS PAC ID: 2860831674 Enrollment ID: O20240412002185 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jedryk Alan Codamon Quitzon, PT 1580 Sawgrass Corporate Pkwy Ste 200, Sunrise, FL 33323-2869 Ph: (954) 296-4748 | Mr Jedryk Alan Codamon Quitzon, PT 1580 Sawgrass Corporate Pkwy Ste 200, Sunrise, FL 33323-2869 Ph: (954) 296-4748 |
Beth Ann Roberts, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4201 Springtree Dr, Sunrise, FL 33351 Phone: 954-742-4700 Fax: 954-742-4700 | |
Luceno Arce Auguis Jr., Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1580 Sawgrass Corporate Pkwy, Sunrise, FL 33323 Phone: 954-332-4445 | |
Lauren Silverman, PT, DPT, PCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 10250 Nw 53rd St, Sunrise, FL 33351 Phone: 954-746-9400 | |
Dr. Stacy Renee Downs, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 14201 W Sunrise Blvd Ste 107, Sunrise, FL 33323 Phone: 954-756-2818 | |
Mr. Carter Umali Ordaz, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1580 Sawgrass Corporate Pkwy Ste 100, Sunrise, FL 33323 Phone: 954-336-7556 | |
Jhunrey Damas Suguran, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1580 Sawgrass Corporate Pkwy Ste 100, Sunrise, FL 33323 Phone: 954-332-4445 | |
Mr. Reagan Mandiade Melad, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1580 Sawgrass Corporate Pkwy, Suite 100, Sunrise, FL 33323 Phone: 954-332-4445 |