Individual
ANTONI DIOMETRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.T.
Contact information
Practice address
2435 US HIGHWAY 19 STE 145, HOLIDAY, FL 34691-3999
(727) 938-2216
(727) 491-3998
Mailing address
2435 US HIGHWAY 19 STE 145, HOLIDAY, FL 34691-3999
(727) 938-2216
(727) 491-3998
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA15871
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H1036-118
HUMANA HMO MEDICARE
—
Enumeration date
01/25/2008
Last updated
01/25/2008
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