Individual
MARSHA RANTALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1819 CYPRESS TRACE DR, SAFETY HARBOR, FL 34695-4520
(772) 422-7190
Mailing address
1819 CYPRESS TRACE DR, SAFETY HARBOR, FL 34695-4520
(772) 422-7190
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA65992
FL
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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