Individual
RAYMOND CHACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1601 6TH ST SE, WINTER HAVEN, FL 33880-4605
(863) 294-0381
Mailing address
217 N 19TH ST, HAINES CITY, FL 33844-4607
(863) 422-0665
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA24483
FL
Other
Enumeration date
01/28/2014
Last updated
01/28/2014
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