Individual ProviderJason Anderson PoloPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address13740 SW 280th Ter, Homestead, FL 33033-5739(786) 304-7287PECOS EnrollmentBased on the most recent information from CMS, provider Jason Anderson Polo does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1225799588Provider TypeIndividualFull NamePolo, Jason AndersonGenderMaleSole ProprietorYesEnumeration Date1/7/2022Last Updated1/7/2022Contact InformationPractice LocationPractice Address13740 SW 280th Ter, Homestead, FL 33033-5739Phone(786) 304-7287FaxUnlisted FaxMailing LocationMailing Address13740 SW 280th Ter, Homestead, FL 33033-5739Phone(786) 304-7287FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense38047Florida