Individual
DEMARCO ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8106 ALAMOSA WOOD AVE, RUSKIN, FL 33573-0146
(561) 840-0754
Mailing address
8106 ALAMOSA WOOD AVE, RUSKIN, FL 33573-0146
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA25911
FL
Other
Enumeration date
12/15/2016
Last updated
12/15/2016
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