Individual
MR. VICTOR LUCENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5405 BABCOCK ST NE, PALM BAY, FL 32905-5020
(321) 722-9801
Mailing address
5405 BABCOCK ST NE, PALM BAY, FL 32905-5020
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 10479
FL
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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