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Organization
GREAT STRIDES PHYSICAL THERAPY LLC
Active
Organization
GREAT STRIDES PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD A MAURO P.T. (PRESIDENT)
(813) 597-8985
Entity
Organization
Contact information
Practice address
19104 CYPRESS GREEN DR, LUTZ, FL 33558-9757
(813) 597-8985
(813) 436-8700
Mailing address
19104 CYPRESS GREEN DR, LUTZ, FL 33558-9757
(813) 597-8985
(813) 436-8700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT24674
FL
Other
Enumeration date
06/10/2010
Last updated
05/10/2012
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