| Mr Keith Jude Kolesar, MS,CCC-SLP | |
|
1526 White Hall Dr, Apt. 102, Davie, FL 33324-6678 | |
| (561) 789-1799 | |
| (954) 382-5781 |
| Full Name | Mr Keith Jude Kolesar |
|---|---|
| Gender | Male |
| Speciality | Speech-language Pathologist |
| Location | 1526 White Hall Dr, Davie, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093947210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SA6948 (Florida) | Primary |
| Provider Name | Therapy Management Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1407293640 PECOS PAC ID: 2961630645 Enrollment ID: O20140103000154 |
| Provider Name | Speech Therapy On The Go Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003319294 PECOS PAC ID: 0941565626 Enrollment ID: O20180530001221 |
| Provider Name | Tmi East Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1336709252 PECOS PAC ID: 3274864665 Enrollment ID: O20200420003011 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Keith Jude Kolesar, MS,CCC-SLP 1526 White Hall Dr, Apt. 102, Davie, FL 33324-6678 Ph: (561) 789-1799 | Mr Keith Jude Kolesar, MS,CCC-SLP 1526 White Hall Dr, Apt. 102, Davie, FL 33324-6678 Ph: (561) 789-1799 |
Paloma Kaznecki, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12545 Orange Dr Ste 502, Davie, FL 33330 Phone: 954-478-5820 | |
Erin Marie Walsh, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4301 S Flamingo Rd Ste 101, Davie, FL 33330 Phone: 954-312-3449 | |
Jessica Booth, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5400 S University Dr Ste 215a, Davie, FL 33328 Phone: 954-319-7609 Fax: 954-265-7050 | |
Miss Nancy Marie Gauvin, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3301 College Ave, Davie, FL 33314 Phone: 954-262-7710 | |
Mrs. Celia Barreiro-blanco, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3240 Maple Ln, Davie, FL 33328 Phone: 954-236-2356 | |
Ms. Lisa Mary Presti, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 6100 Griffin Rd, Davie, FL 33314 Phone: 954-262-7726 | |
Rachel Camilo, MS CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5400 S University Dr Ste 215a, Davie, FL 33328 Phone: 954-319-7609 |