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Individual

MR. HUGO A. NIETO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.T.A.

Contact information

Practice address
202 STRAWBERRY OAKS DR, ORANGE CITY, FL 32763-7444
(386) 775-8607
(386) 775-8607
Mailing address
550 N FIRWOOD DR, DELTONA, FL 32725-2687
(386) 566-4115
(386) 951-2641

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA20641
FL

Other

Enumeration date
04/19/2007
Last updated
07/08/2007
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