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Individual

DIOSADADO G SALAVERIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2427 PELICAN BAY CT, PANAMA CITY, FL 32408-7053
(800) 521-9604
Mailing address
2427 PELICAN BAY COURT, PANAMA CITY BEACH, FL 32408

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT19623
FL

Other

Enumeration date
12/29/2010
Last updated
12/29/2010
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