Individual
MICHAEL TABLIZO TABO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1000 W BROADWAY ST, OVIEDO, FL 32765-9260
(321) 841-3760
(321) 841-3232
Mailing address
1000 W BROADWAY ST, OVIEDO, FL 32765-9260
(321) 841-3760
(321) 841-3232
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT33761
FL
2251X0800X
Orthopedic Physical Therapist
Primary
PT33761
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3437
STATE OF NV PT LICENSE NUMBER
NV
01
—
PT-33761
STATE OF FL PT LICENSE NUMBER
FL
Enumeration date
08/17/2009
Last updated
10/18/2024
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