Individual
MR. JOHN ESTEBAN TAVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1465 OAKFIELD DR, BRANDON, FL 33511-4854
(813) 655-0404
Mailing address
1901 W SAINT LOUIS ST, TAMPA, FL 33607-2017
(321) 615-5135
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA31709
FL
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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