Individual
ROBERT J SANSOUCI III III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
560 SW MCFARLANE AVE, LAKE CITY, FL, 32025, LAKE CITY, FL 32025
(386) 758-4777
Mailing address
560 SW MCFARLANE AVE, LAKE CITY, FL, 32025, LAKE CITY, FL 32025
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA28885
FL
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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