| Susie Fernandez-patton, | |
|
1116 Rotonda Cir, Rotonda West, FL 33947-2127 | |
| (941) 830-3749 | |
| Not Available |
| Full Name | Susie Fernandez-patton |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1116 Rotonda Cir, Rotonda West, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588411870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT9987 (Florida) | Primary |
| Provider Name | James Ferrara Lymphedema Therapist Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1932707643 PECOS PAC ID: 9234559881 Enrollment ID: O20201020001690 |
| Provider Name | Functional Transformation Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1013633031 PECOS PAC ID: 2860862067 Enrollment ID: O20230104002399 |
| Mailing Address | Practice Location Address |
|---|---|
| Susie Fernandez-patton, 1116 Rotonda Cir, Rotonda West, FL 33947-2127 Ph: (941) 830-3749 | Susie Fernandez-patton, 1116 Rotonda Cir, Rotonda West, FL 33947-2127 Ph: (941) 830-3749 |
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