Birley Giddens Iii (NPI# 1790117117, PAC ID# 3779711767) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OCCUPATIONAL THERAPY.
| Nation Provider ID (NPI) | 1790117117 |
| PAC ID by PECOS | 3779711767 |
| Professional Enrollment ID | I20140121001351 |
| Full Name | Birley Giddens Iii |
| Organization Legal Name | MOUNT DORA PHYSICAL THERAPY SPECIALISTS INC |
| Address |
2012 N Donnelly St Mount Dora FL 32757-2824 |
| Phone Number | 3527293565 |
| Gender | M |
| Graduation Year | 2000 |
| Primary Specialty | OCCUPATIONAL THERAPY |
| Group Practice PAC ID | 2567621261 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2012 N Donnelly St, Mount Dora, FL 32757-2824 | 3527293565 | MOUNT DORA PHYSICAL THERAPY SPECIALISTS INC |
| Organization Legal Name | MOUNT DORA PHYSICAL THERAPY SPECIALISTS INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William David Moulder | Physical Therapy | Mount Dora Physical Therapy Specialists Inc | 2012 N Donnelly St, Mount Dora, FL 32757-2824 |
| Ana Paula Bruder Moulder | Physical Therapy | Mount Dora Physical Therapy Specialists Inc | 2012 N Donnelly St, Mount Dora, FL 32757-2824 |
| Joy Dominique Garza | Physical Therapy | Mount Dora Physical Therapy Specialists Inc | 2012 N Donnelly St, Mount Dora, FL 32757-2824 |
| Street Address |
2012 N DONNELLY ST |
| City | MOUNT DORA |
| State | FL |
| Zip | 32757-2824 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William David Moulder | Physical Therapy | Mount Dora Physical Therapy Specialists Inc | 2012 N Donnelly St, Mount Dora, FL 32757-2824 |
| Ana Paula Bruder Moulder | Physical Therapy | Mount Dora Physical Therapy Specialists Inc | 2012 N Donnelly St, Mount Dora, FL 32757-2824 |
| Joy Dominique Garza | Physical Therapy | Mount Dora Physical Therapy Specialists Inc | 2012 N Donnelly St, Mount Dora, FL 32757-2824 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan J Hanflink | Interventional Pain Management | 4601 N Hwy 19a, Mount Dora, FL 32757-2039 | |
| Vrej Kristapor Manoogian | Orthopedic Surgery | Manoogian Orthopedic Center Pa | 1945 Bay Rd, Mount Dora, FL 32757-2105 |
| Azalee L Brown | Nurse Practitioner | Manoogian Orthopedic Center Pa | 1945 Bay Rd, Mount Dora, FL 32757-2105 |
| Linda Steward | Physician Assistant | Manoogian Orthopedic Center Pa | 1945 Bay Rd, Mount Dora, FL 32757-2105 |
| Denise A Monert | Physical Therapy | 3800 Lake Ctr Dr, Suite B3, Mount Dora, FL 32757-2208 | |
| Kevin Thomas Taylor | Internal Medicine | 3801 N Hwy 19a, Suite 402, Mount Dora, FL 32757-2228 | |
| Ruth Meneses- Taylor | Nephrology | Center for Diseases of The Kidney and Hypertension Inc | 3801 N Hwy 19a, Suite 400, Mt Dora, FL 32757-2299 |
| Evan M Burke | Physical Therapy | 3425 Lake Ctr Dr, Suite 1, Mount Dora, FL 32757-2345 | |
| Shirley A Nagel | Internal Medicine | Adult Medicine of Lake County Inc | 3619 Lake Ctr Dr, Mount Dora, FL 32757-2364 |
| Joanne M Keller | Nurse Practitioner | Joanne M Keller Arnp Womens Health and Wellness Practice Pa | 3643 Lake Ctr Dr, Mount Dora, FL 32757-2364 |
| Find all physicians in zip 32757 | |||
| City | MOUNT DORA |
| Zip Code | 32757 |
| Specialty | OCCUPATIONAL THERAPY |
| City + Specialty | MOUNT DORA + OCCUPATIONAL THERAPY |
Please comment or provide details below to improve the information on Birley Giddens Iii.
| 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.