Individual
MR. PEDRO MANUEL BLOISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4411 N HABANA AVE, TAMPA, FL 33614-7211
(813) 361-4688
Mailing address
4411 N HABANA AVE, TAMPA, FL 33614-7211
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA30554
FL
Other
Enumeration date
06/06/2021
Last updated
09/28/2021
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