Individual
LOUIS DIFIORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 DRURY LN, ENGLEWOOD, FL 34224-4545
(941) 473-7132
Mailing address
4330 ALLIGATOR DR, VENICE, FL 34293-6101
(941) 914-0654
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA24263
FL
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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