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Individual

MR. RALPH RICHARD FUNK II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
KINESIOTHERAPIST

Contact information

Practice address
BAY PINES VETERANS ADMINISTRATION HEALTHCARE SYSYTEM, 10,000 BAY PINES BLVD, BAY PINES, FL 33744-5005
(727) 398-6661
(727) 398-9440
Mailing address
10322 107TH AVE, LARGO, FL 33773-4115
(727) 398-4504

Taxonomy

Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
880
MS

Other

Enumeration date
09/20/2006
Last updated
07/08/2007
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