Individual
ANGEL MANUEL LATORRE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
950 S MELLONVILLE AVE, SANFORD, FL 32771-2237
(407) 322-8566
Mailing address
208 ALTA VISTA ST, DEBARY, FL 32713-3702
(407) 485-3697
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
9218
FL
Other
Enumeration date
12/31/2021
Last updated
12/31/2021
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