Individual
LISA MICHELE MICHELANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
17419 BRIDGE HILL CT, SUITE C, TAMPA, FL 33647-3467
(813) 907-7879
(813) 994-3080
Mailing address
17419 BRIDGE HILL COURT, SUITE C, TAMPA, FL 33647
(813) 907-7879
(813) 994-3080
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
PT17695
FL
Other
Enumeration date
07/02/2009
Last updated
07/02/2009
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