Individual
MRS. MAGALY PUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ORTHOTIC FITTER ASST
Contact information
Practice address
2727 MARTIN LUTHER KING BLVD, SUITE 690, TAMPA, FL 33607
(813) 354-0100
(813) 388-0329
Mailing address
5311 E FLETCHER AVENUE, TAMPA, FL 33617
(813) 985-5000
(813) 985-4499
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
0FA111
—
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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