Individual
ANTHONY BONGIORNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8132 HUDSON AVE, HUDSON, FL 34667-8571
(727) 857-7848
(727) 857-7849
Mailing address
8132 HUDSON AVE, HUDSON, FL 34667-8571
(727) 857-7848
(727) 857-7849
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA14284
FL
Other
Enumeration date
05/11/2016
Last updated
07/26/2016
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