Peter Ambrose Renz (NPI# 1750732475, PAC ID# 1254627490) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1750732475 |
| PAC ID by PECOS | 1254627490 |
| Professional Enrollment ID | I20160914001022 |
| Full Name | Peter Ambrose Renz |
| Organization Legal Name | BEACHSIDE PHYSICAL THERAPY INC |
| Address |
4270 Minton Rd Suite 120 W Melbourne FL 32904-9579 |
| Phone Number | 3219842933 |
| Gender | M |
| Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 1052202769 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4270 Minton Rd, Suite 120, W Melbourne, FL 32904-9579 | 3219842933 | BEACHSIDE PHYSICAL THERAPY INC |
| Organization Legal Name | BEACHSIDE PHYSICAL THERAPY INC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Ann Marshall | Physical Therapy | Beachside Physical Therapy Inc | 4270 Minton Rd, Suite 120, W Melbourne, FL 32904-9579 |
| Kelly A Pickens | Physical Therapy | Beachside Physical Therapy Inc | 417 5th Ave, Apt 101, Indialantic, FL 32903-4224 |
| Sarah Ellen Middleton | Physical Medicine and Rehabilitation | Beachside Physical Therapy Inc | 3680 N Wickham Rd, Suite B, Melbourne, FL 32935-2327 |
| Ivanova G Parguian | Physical Therapy | Beachside Physical Therapy Inc | 660 E Eau Gallie Blvd, Suite 106, Indian Harbour Beach, FL 32937-4400 |
| Michael S Holmes | Physical Therapy | Beachside Physical Therapy Inc | 660 E Eau Gallie Blvd, Suite 106, Indian Harbour Beach, FL 32937-4400 |
| Jennifer A Fairbank | Physical Therapy | Beachside Physical Therapy Inc | 4270 Minton Rd, Suite 120, W Melbourne, FL 32904-9579 |
| Forest R Mcdowell | Physical Therapy | Beachside Physical Therapy Inc | 4270 Minton Rd, Suite 120, W Melbourne, FL 32904-9579 |
| Vennita C Waldrop | Physical Therapy | Beachside Physical Therapy Inc | 3680 N Wickham Rd, Suite B, Melbourne, FL 32935-2327 |
| Mark A Brimer | Physical Therapy | Beachside Physical Therapy Inc | 3680 N Wickham Rd, Suite B, Melbourne, FL 32935-2327 |
| Laura Clevenger Straut | Physical Therapy | Beachside Physical Therapy Inc | 3680 N Wickham Rd, Suite B, Melbourne, FL 32935-2327 |
| Street Address |
4270 MINTON RD SUITE 120 |
| City | W MELBOURNE |
| State | FL |
| Zip | 32904-9579 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Ann Marshall | Physical Therapy | Beachside Physical Therapy Inc | 4270 Minton Rd, Suite 120, W Melbourne, FL 32904-9579 |
| Jennifer A Fairbank | Physical Therapy | Beachside Physical Therapy Inc | 4270 Minton Rd, Suite 120, W Melbourne, FL 32904-9579 |
| Forest R Mcdowell | Physical Therapy | Beachside Physical Therapy Inc | 4270 Minton Rd, Suite 120, W Melbourne, FL 32904-9579 |
| Caitlyn J. Leclair | Physical Therapy | Beachside Physical Therapy Inc | 4270 Minton Rd, Suite 120, W Melbourne, FL 32904-9579 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jose A Vazquez | Ophthalmology | Aggarwal Medical Associates Pa | 232 S Wickham Rd, Melbourne, FL 32904-1123 |
| Karen M Rafferty | Anesthesiology | Apollo Anesthesia, Pa | 375 S Wickham Rd, Melbourne, FL 32904-1135 |
| Julie N. Chevillet | Orthopedic Surgery | Spine and Orthopaedic Specialists of Central Florida LLC | 395 S Wickham Rd, Melbourne, FL 32904-1135 |
| Ana V Delgado | Anesthesiology | Apollo Anesthesia, Pa | 375 S Wickham Rd, Melbourne, FL 32904-1135 |
| Alberto Perez Dimaggio | Anesthesiology | Apollo Anesthesia, Pa | 375 S Wickham Rd, Melbourne, FL 32904-1135 |
| Brad E Mccollom | Neurosurgery | Spine and Orthopaedic Specialists of Central Florida LLC | 395 S Wickham Rd, Melbourne, FL 32904-1135 |
| James Ploucha | Anesthesiology | Apollo Anesthesia, Pa | 375 S Wickham Rd, Melbourne, FL 32904-1135 |
| Krishna Vara | General Practice | 395 S Wickham Rd, West Melbourne, FL 32904-1135 | |
| Robert J Kennedy | Diagnostic Radiology | Interventional and Vascular Center Pllc | 415 S Wickham Rd, Melbourne, FL 32904-1137 |
| Brian Dunfee | Interventional Radiology | Interventional and Vascular Center Pllc | 415 S Wickham Rd, Melbourne, FL 32904-1137 |
| Find all physicians in zip 32904 | |||
| City | W MELBOURNE |
| Zip Code | 32904 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | W MELBOURNE + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.