Individual
NELSON MANZUR RAPALO PERDOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
119 OAKFIELD DR, BRANDON, FL 33511-5779
(813) 681-5551
Mailing address
11310 SAGE CANYON DR, RIVERVIEW, FL 33578-9318
(813) 585-4252
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
906
FL
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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