| Ryan Moulton, | |
|
621 E Alexander St, Plant City, FL 33563-7126 | |
| (813) 707-1509 | |
| Not Available |
| Full Name | Ryan Moulton |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 621 E Alexander St, Plant City, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902282825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT30602 (Florida) | Primary |
| Provider Name | Qrm Plus Florida Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1851061394 PECOS PAC ID: 8729479563 Enrollment ID: O20220105000497 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Moulton, 621 E Alexander St, Plant City, FL 33563-7126 Ph: (813) 707-1509 | Ryan Moulton, 621 E Alexander St, Plant City, FL 33563-7126 Ph: (813) 707-1509 |
Benjamin Johnson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 621 E Alexander St, Plant City, FL 33563 Phone: 813-707-1509 | |
Kellie Cunningham Sipos, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5938 Hovan Ave, Plant City, FL 33565 Phone: 813-970-2512 | |
Jethro Angelo Capati, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1902 James L Redman Pkwy, Plant City, FL 33563 Phone: 813-652-8027 | |
Nicole C Himmelman, Physical Therapist Medicare: Medicare Enrolled Practice Location: 765 W Grant St, Plant City, FL 33563 Phone: 813-743-3701 | |
Nicole Downey Edwards, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2051 Walden Woods Dr, Plant City, FL 33563 Phone: 813-540-9683 | |
Mr. Anthony Carl Marcket, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 511 W Alexander St, Plant City, FL 33563 Phone: 813-754-2309 Fax: 813-754-2630 | |
Krupa Patel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3063 Sutton Woods Dr, Plant City, FL 33566 Phone: 813-708-3243 |