Individual
MIGUEL A RIBO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
6912 N THATCHER AVE, TAMPA, FL 33614-3823
(813) 453-8872
Mailing address
6912 N THATCHER AVE, TAMPA, FL 33614-3823
(813) 453-8872
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
13-427
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9526900855
—
FL
Enumeration date
12/27/2013
Last updated
12/27/2013
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