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Individual
JEROME ANTHONY TRUXILLO
Active
Individual
JEROME ANTHONY TRUXILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, OCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2966
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y906Y
BCBSFL GROUP #
FL
Enumeration date
06/23/2006
Last updated
07/09/2007
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