Individual
MATTHEW COLOSIMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
160 SE VIA VISCONTI, PORT SAINT LUCIE, FL 34952-5319
(561) 459-0753
Mailing address
160 SE VIA VISCONTI, PORT SAINT LUCIE, FL 34952-5319
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA23341
FL
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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