Individual
ANN T VACCARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15810 FENTON PL, TAMPA, FL 33618-1651
(813) 310-0764
Mailing address
15810 FENTON PL, TAMPA, FL 33618-1651
(813) 310-0764
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
691298296
—
FL
Enumeration date
04/05/2016
Last updated
04/05/2016
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