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Individual

DYLAN DEFEO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
345 W MICHIGAN ST STE 108, ORLANDO, FL 32806-4465
(407) 888-2255
Mailing address
345 W MICHIGAN ST STE 108, ORLANDO, FL 32806-4465
(407) 888-2255

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1548217615
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
121212
FL
Enumeration date
01/06/2019
Last updated
01/06/2019
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