| Nicole Lacek-nguyen, | |
|
2901 W Busch Blvd, Ste 910, Tampa, FL 33618-4573 | |
| (239) 948-3280 | |
| Not Available |
| Full Name | Nicole Lacek-nguyen |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 2901 W Busch Blvd, Tampa, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699219907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT 32112 (Florida) | Primary |
| Provider Name | The Ear Nose And Throat Surgical Associates Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1114905148 PECOS PAC ID: 2466437926 Enrollment ID: O20040621000545 |
| Provider Name | Dr Gampolo Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962904201 PECOS PAC ID: 3577898527 Enrollment ID: O20190712000697 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Lacek-nguyen, 2901 W Busch Blvd, Ste 910, Tampa, FL 33618-4573 Ph: (407) 644-4883 | Nicole Lacek-nguyen, 2901 W Busch Blvd, Ste 910, Tampa, FL 33618-4573 Ph: (239) 948-3280 |
Mary Cathleen Brooke, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12425 Race Track Rd, Ste. 100, Tampa, FL 33626 Phone: 866-568-9068 Fax: 866-360-5916 | |
Mrs. Jennifer Michelle Terry, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3010 E 138th Ave Ste 1, Tampa, FL 33613 Phone: 813-805-8102 Fax: 813-757-3729 | |
Eleanor Innocent, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3100 E Fletcher Ave, Tampa, FL 33613 Phone: 813-615-7200 | |
Sara Brett, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 N West Shore Blvd, Suite 600, Tampa, FL 33609 Phone: 407-833-8815 | |
Kristen Webbers, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5401 W Kennedy Blvd Ste 100, Tampa, FL 33609 Phone: 866-839-6979 | |
Sophia Prassas, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5401 W Kennedy Blvd Ste 100, Tampa, FL 33609 Phone: 866-839-6979 | |
Jamie Birmingham, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5401 W Kennedy Blvd Ste 100, Tampa, FL 33609 Phone: 866-839-6979 |