Individual
EDUARDO J MATILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6117 GUNN HWY, TAMPA, FL 33625-4013
(813) 978-9700
(813) 558-6185
Mailing address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0915
(813) 978-9700
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA31810
FL
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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