Individual
MR. PETER JAMES VERGARA CAMPOMANES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
400 CELEBRATION PL # C200, CELEBRATION, FL 34747-4970
(407) 303-4003
Mailing address
1138 S PINE RIDGE CIR, SANFORD, FL 32773-4806
(732) 859-0150
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
25847
FL
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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