Individual
MR. GUSTAVO ALBERTO URBINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
710 N SUN DR, LAKE MARY, FL 32746-2507
(497) 805-3131
Mailing address
710 N SUN DR, LAKE MARY, FL 32746-2507
(407) 805-3131
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT10700
FL
Other
Enumeration date
03/30/2007
Last updated
02/09/2012
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