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Individual

ANTHONY JOHN HANDAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1014 PORTMOOR WAY, WINTER GARDEN, FL 34787-4617
(407) 905-9290
Mailing address
1014 PORTMOOR WAY, WINTER GARDEN, FL 34787-4617
(407) 905-9290

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
811684900
FL
Enumeration date
07/11/2008
Last updated
04/27/2011
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