Individual
CHRISTIAN POCHOLO VICMUDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5165 ADANSON ST, ORLANDO, FL 32804-1331
(352) 394-0212
Mailing address
PO BOX 120547, CLERMONT, FL 34712-0547
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT38276
FL
225100000X
Physical Therapist
—
—
Other
Enumeration date
06/07/2022
Last updated
06/22/2022
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