Individual
DORIZA SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12006 NORTHUMBERLAND DR, TAMPA, FL 33626-1311
(813) 855-4819
Mailing address
12006 NORTHUMBERLAND DR, TAMPA, FL 33626-1311
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT10551
PROFESSINAL LICENCE
FL
Enumeration date
03/30/2007
Last updated
07/08/2007
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