Individual
JOSEPH MISTRETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11605 E US HIGHWAY 92, SEFFNER, FL 33584-3305
(607) 237-8773
Mailing address
4809 N ARMENIA AVE, 200, TAMPA, FL 33603-1447
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 4167
FL
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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