Individual
NICOLE CASAGRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
Mailing address
2932 EMELDI LN, MELBOURNE, FL 32940-8517
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT36055
FL
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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