| Shine Rehab Inc. | |
|
2301 Tamiami Trl Ste E, Port Charlotte, FL 33952-3923 | |
| (941) 625-1252 | |
| (941) 625-0616 |
| Full Name | Shine Rehab Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 2301 Tamiami Trl Ste E, Port Charlotte, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568677938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT10614 (Florida) | Primary |
| Provider Name | Solano F Mercado |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730352162 PECOS PAC ID: 6709861586 Enrollment ID: I20040625000526 |
| Mailing Address | Practice Location Address |
|---|---|
| Shine Rehab Inc. 2301 Tamiami Trl Ste E, Port Charlotte, FL 33952-3923 Ph: (941) 625-1252 | Shine Rehab Inc. 2301 Tamiami Trl Ste E, Port Charlotte, FL 33952-3923 Ph: (941) 625-1252 |
Kristen Honeycutt Downey, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3036 Tamiami Trl, Port Charlotte, FL 33952 Phone: 941-627-1650 Fax: 941-627-1507 | |
Philip Lagamma, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1649 Tamiami Trl Ste 1a, Port Charlotte, FL 33948 Phone: 941-743-6700 | |
Carmelle Chua Sy, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1032 Vega Ave Nw, Port Charlotte, FL 33948 Phone: 941-585-9114 | |
Kenneth Go Cariaso, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4166 Tamiami Trl, Suite A, Port Charlotte, FL 33952 Phone: 941-766-1110 Fax: 941-766-1190 | |
Mr. Lawrence Carlino, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 Harbor Blvd, Port Charlotte, FL 33952 Phone: 941-766-4147 | |
Progressive Physical Therapy Service Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17751 Murdock Cir, Port Charlotte, FL 33948 Phone: 941-743-8700 Fax: 941-743-8850 | |
Omar Alberto Garcia, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17751 Murdock Cir, Port Charlotte, FL 33948 Phone: 941-743-8700 Fax: 941-743-8850 |