Individual
MR. DWIGHT ALFRED TRAFICANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
120 HARRIS DR, SEBASTIAN, FL 32958-5215
(772) 913-2919
Mailing address
120 HARRIS DR, SEBASTIAN, FL 32958-5215
(772) 913-2919
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
25077
FL
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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