Ty Anthony Trudeau (NPI# 1235252537, PAC ID# 9537157300) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1235252537 |
| PAC ID by PECOS | 9537157300 |
| Professional Enrollment ID | I20130123000468 |
| Full Name | Ty Anthony Trudeau |
| Organization Legal Name | FLORIDA SPINE AND REHAB CENTER LLC |
| Address |
483 N Semoran Blvd Suite 104 Winter Park FL 32792-3800 |
| Phone Number | 4077722225 |
| Gender | M |
| Medical School | NATIONAL COLLEGE OF CHIROPRACTIC |
| Graduation Year | 1997 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 0941453070 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 483 N Semoran Blvd, Suite 104, Winter Park, FL 32792-3800 | 4077722225 | FLORIDA SPINE AND REHAB CENTER LLC |
| 483 N Semoran Blvd, Winter Park, FL 32792-3800 | 4077722225 | FLORIDA SPINE AND REHAB CENTER LLC |
| Organization Legal Name | FLORIDA SPINE AND REHAB CENTER LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lizabeth Lynette Reddy | Chiropractic | Florida Spine and Rehab Center LLC | 288 E State Rd, Suite 434, Longwood, FL 32750-5274 |
| Street Address |
483 N SEMORAN BLVD SUITE 104 |
| City | WINTER PARK |
| State | FL |
| Zip | 32792-3800 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lukasz K Janeczek | Family Medicine | Doctors of Clinical Specialties LLC | 483 N Semoran Blvd, Suite 210, Winter Park, FL 32792-3800 |
| Rory C Williams | Family Medicine | Doctors of Clinical Specialties LLC | 483 N Semoran Blvd, Suite 210, Winter Park, FL 32792-3800 |
| William J. Athans | Orthopedic Surgery | Florida Orthopedic and Rehab LLC | 483 N Semoran Blvd, Suite 104, Winter Park, FL 32792-3800 |
| Sayed T Hussain | Interventional Cardiology | Florida Cardiology Pa | 483 N Semoran Blvd, Winter Park, FL 32792-3800 |
| Max S Watzman | Family Medicine | Michael J Barimo Do P A | 483 N Semoran Blvd, Suite 206, Winter Park, FL 32792-3800 |
| Andre S Marques | Internal Medicine | Doctors of Clinical Specialties LLC | 483 N Semoran Blvd, Suite 210, Winter Park, FL 32792-3800 |
| Rohini Bajaj | Gastroenterology | 483 N Semoran Blvd, Suite 101, Winter Park, FL 32792-3800 | |
| Rafat Ahmed | Nurse Practitioner | Doctors of Clinical Specialties LLC | 483 N Semoran Blvd, Suite 210, Winter Park, FL 32792-3800 |
| Felix J Esarey | Podiatry | Doctors of Clinical Specialties LLC | 483 N Semoran Blvd, Suite 210, Winter Park, FL 32792-3800 |
| Hurline Saint-fleur | Nurse Practitioner | Doctors of Clinical Specialties LLC | 483 N Semoran Blvd, Winter Park, FL 32792-3800 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Morgan Barr | Obstetrics/gynecology | Womens Care Florida LLC | 10 N Edinburgh Dr, 200 Tampa Bay Womens Care, Winter Park, FL 32792 |
| Yelena A Atlanova | Obstetrics/gynecology | Womens Care Florida LLC | 10 N Edinburgh Dr, 200 Tampa Bay Womens Care, Winter Park, FL 32792 |
| Allison N Hioki | Physical Therapy | Physiotherapy Works, LLC | 1860 State Rd, 436 Suite 1000, Winter Park, FL 32792 |
| James N Hartland | Physical Therapy | Physiotherapy Works, LLC | 1860 State Rd, 436 Suite 1000, Winter Park, FL 32792 |
| Robyn L Zuromski | Physical Therapy | Physiotherapy Works, LLC | 1860 State Rd, Winter Park, FL 32792 |
| Mary Liebermann | Clinical Social Worker | 1908 Howell Branch Rd, Winter Park, FL 32792-1009 | |
| Sandra Harrington Barker | Optometry | Eye Associates of Winter Park | 1928 Howell Branch Rd, Winter Park, FL 32792-1013 |
| Gary Barker | Optometry | Eye Associates of Winter Park | 1928 Howell Branch Rd, Winter Park, FL 32792-1013 |
| Kaitlyn Kelley | Optometry | Eye Associates of Winter Park | 1928 Howell Branch Rd, Winter Park, FL 32792-1013 |
| Alaina Michelle Medvetz | Optometry | Eye Associates of Winter Park | 1928 Howell Branch Rd, Winter Park, FL 32792-1013 |
| Find all physicians in zip 32792 | |||
| City | WINTER PARK |
| Zip Code | 32792 |
| Specialty | CHIROPRACTIC |
| City + Specialty | WINTER PARK + CHIROPRACTIC |
Please comment or provide details below to improve the information on Ty Anthony Trudeau.
| 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.