Individual
MIA PAGANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 W KENNEDY BLVD, TAMPA, FL 33606-1490
(813) 253-3333
Mailing address
2901 W SAN JOSE ST, TAMPA, FL 33629-7257
(551) 579-0463
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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