Individual
VINCENZO BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
453 DEVON PL, LAKE MARY, FL 32746-5001
(407) 304-9377
Mailing address
453 DEVON PL, LAKE MARY, FL 32746-5001
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA96983
FL
Other
Enumeration date
03/18/2021
Last updated
03/18/2021
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