Shenandoah Lee Ware, PT | |
3700 Haines Rd N Apt 8, St Petersburg, FL 33704-1150 | |
(870) 577-3264 | |
Not Available |
Full Name | Shenandoah Lee Ware |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 37 Years |
Location | 3700 Haines Rd N Apt 8, St Petersburg, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558360354 | NPI | - | NPPES |
138734721 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT782 (Arkansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Florida Luna Care Physical Therapy Llc | 3779991559 | 157 |
Provider Name | Florida Luna Care Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1114542032 PECOS PAC ID: 3779991559 Enrollment ID: O20210415001126 |
Mailing Address | Practice Location Address |
---|---|
Shenandoah Lee Ware, PT 3700 Haines Rd N Apt 8, St Petersburg, FL 33704-1150 Ph: (870) 577-3264 | Shenandoah Lee Ware, PT 3700 Haines Rd N Apt 8, St Petersburg, FL 33704-1150 Ph: (870) 577-3264 |
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