Individual
ELIEZER HUERTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
7959 HAMPTON LAKE DR, TAMPA, FL 33647-3662
(760) 684-5518
Mailing address
7959 HAMPTON LAKE DR, TAMPA, FL 33647-3662
(760) 684-5518
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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