Ryan Paul Redwine (NPI# 1619477155, PAC ID# 7517221799) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1619477155 |
| PAC ID by PECOS | 7517221799 |
| Professional Enrollment ID | I20180516001734 |
| Full Name | Ryan Paul Redwine |
| Organization Legal Name | NASSAU PHYSICAL THERAPY INC |
| Address |
45390 Green Ave Callahan FL 32011-3711 |
| Phone Number | 9048791223 |
| Gender | M |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 3476629544 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 45390 Green Ave, Callahan, FL 32011-3711 | 9048791223 | NASSAU PHYSICAL THERAPY INC |
| 1885 S 14th St, Fernandina Beach, FL 32034-3033 | 9042774449 | NASSAU PHYSICAL THERAPY INC |
| Organization Legal Name | NASSAU PHYSICAL THERAPY INC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elza Van Nickerk | Physical Therapy | Nassau Physical Therapy Inc | 1885 S 14th St, Fernandina Beach, FL 32034-3033 |
| Kevin Fredenburg | Physical Therapy | Nassau Physical Therapy Inc | 45390 Green Ave, Callahan, FL 32011-3711 |
| James Marino | Physical Therapy | Nassau Physical Therapy Inc | 45390 Green Ave, Callahan, FL 32011-3711 |
| Paola Andrea Ortiz | Physical Therapy | Nassau Physical Therapy Inc | 45390 Green Ave, Callahan, FL 32011-3711 |
| Christine M Lefko | Physical Therapy | Nassau Physical Therapy Inc | 45390 Green Ave, Callahan, FL 32011-3711 |
| Anthony Michael Vogt | Physical Therapy | Nassau Physical Therapy Inc | 45390 Green Ave, Callahan, FL 32011-3711 |
| Street Address |
45390 GREEN AVE |
| City | CALLAHAN |
| State | FL |
| Zip | 32011-3711 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin Fredenburg | Physical Therapy | Nassau Physical Therapy Inc | 45390 Green Ave, Callahan, FL 32011-3711 |
| James Marino | Physical Therapy | Nassau Physical Therapy Inc | 45390 Green Ave, Callahan, FL 32011-3711 |
| Paola Andrea Ortiz | Physical Therapy | Nassau Physical Therapy Inc | 45390 Green Ave, Callahan, FL 32011-3711 |
| Christine M Lefko | Physical Therapy | Nassau Physical Therapy Inc | 45390 Green Ave, Callahan, FL 32011-3711 |
| Anthony Michael Vogt | Physical Therapy | Nassau Physical Therapy Inc | 45390 Green Ave, Callahan, FL 32011-3711 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel R Weaver | Chiropractic | Daniel R. Weaver Dc Pa | 542184 S Kings Rd, Suite 3b, Callahan, FL 32011-1107 |
| Eugenia J Ngo | Family Medicine | Florida Department of Health | 45377 Mickler St, Callahan, FL 32011-3001 |
| Marcia W Funderburk | Family Medicine | University of Florida Jacksonville Physicians, Inc. | 450077 State Rd, Suite 12, Callahan, FL 32011-3863 |
| Judella E Haddad Lacle | Family Medicine | University of Florida Jacksonville Physicians, Inc. | 450077 State Rd, Suite 12, Callahan, FL 32011-3863 |
| Tara Renee Blackshear | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 450077 State Rd, Suite 12, Callahan, FL 32011-3863 |
| William C Solomon | Family Medicine | University of Florida Jacksonville Physicians, Inc. | 450077 State Rd, Suite 12, Callahan, FL 32011-3863 |
| Phillips Cao | Family Medicine | University of Florida Jacksonville Physicians, Inc. | 450077 State Rd, Suite 12, Callahan, FL 32011-3863 |
| Madeline Horn | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 450077 State Rd, Suite 12, Callahan, FL 32011-3863 |
| Diana R Twiggs | Family Medicine | Baptist Primary Care Inc | 45465 5th Ave, Callahan, FL 32011-3901 |
| Barbara A Bayko | Physician Assistant | Baptist Primary Care Inc | 45465 5th Ave, Callahan, FL 32011-3901 |
| Find all physicians in zip 32011 | |||
| City | CALLAHAN |
| Zip Code | 32011 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | CALLAHAN + 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.