Individual
MR. MIGUEL TRAIFALGAR DECASTRO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4730 BEE RIDGE RD, SARASOTA, FL 34233-1442
(941) 377-1286
Mailing address
6722 71ST ST E, BRADENTON, FL 34203-7173
(941) 758-1283
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT-20585
FL
Other
Enumeration date
04/13/2009
Last updated
04/13/2009
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