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MR. BERNARD AGTUCA AUDITOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
2810 RULEME ST, EUSTIS, FL 32726-6527
(352) 483-5037
Mailing address
5705 QUINTON WAY, STONEYBROOK HILLS, MOUNT DORA, FL 32757-8030
(954) 798-1354

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
031079-1
NY
225100000X
Physical Therapist
PT019791
PA
225100000X
Physical Therapist
Primary
PT25425
FL

Other

Enumeration date
03/16/2009
Last updated
09/21/2012
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