Individual
MS. MA SOCORRO MAGISTRADO BURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3718 BELLEWATER BLVD, RIVERVIEW, FL 33578-3109
(813) 695-5228
Mailing address
3718 BELLEWATER BLVD, RIVERVIEW, FL 33578-3109
(813) 695-5228
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10994-PHYS. THERAPY
FL
Other
Enumeration date
11/20/2006
Last updated
04/10/2012
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