Individual
AMPARO MADEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4144 N ARMENIA AVE STE 230, TAMPA, FL 33607-6447
(813) 872-8566
Mailing address
11807 ROSSMAYNE DR, RIVERVIEW, FL 33569-5658
(813) 892-4208
(813) 671-0861
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10378
FL
Other
Enumeration date
05/25/2017
Last updated
05/25/2017
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