Individual
ISIDRO TUCKER MADRID JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
306 S 10TH ST, SUITE 310, HAINES CITY, FL 33844-5602
(863) 421-2000
(863) 421-2002
Mailing address
306 S 10TH ST, SUITE 310, HAINES CITY, FL 33844-5602
(863) 421-2000
(863) 421-2002
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTAT24311
FL
Other
Enumeration date
07/30/2013
Last updated
09/03/2015
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