Individual
FLORANTE JACINTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
906 S MAIN ST, SUITE 2, PLYMOUTH, MI 48170-2093
(734) 455-4668
(734) 455-4668
Mailing address
13648 CANTERBURY DR, STERLING HEIGHTS, MI 48312-3310
(586) 202-2383
(586) 795-3863
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501011643
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650H231180
BLUE CROSS BLUE SHIELD
MI
Enumeration date
06/04/2006
Last updated
06/17/2008
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