Individual
RANDY GOVEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
8509 S FEDERAL HWY # US1, PORT SAINT LUCIE, FL 34952-3346
(772) 380-4549
(772) 210-8920
Mailing address
8509 S FEDERAL HWY # US1, PORT SAINT LUCIE, FL 34952-3346
(772) 380-4549
(772) 210-8920
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA27835
FL
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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