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Individual

DINO F LONTOC

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
1900 HIGHLAND OAKS BLVD, LUTZ, FL 33559-7323
(813) 949-0003
(813) 994-0302
Mailing address
1900 HIGHLAND OAKS BLVD, LUTZ, FL 33559-7323
(813) 949-0003
(813) 994-0302

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7685
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
X1306
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/02/2005
Last updated
07/08/2007
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