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Individual

DR. ANDREW DOUGLAS MISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.T.

Contact information

Practice address
5801 ARGERIAN DR STE 102, WESLEY CHAPEL, FL 33545-4145
(813) 907-0548
Mailing address
10626 LUCAYA DR, TAMPA, FL 33647-3530

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
18566
MA
225100000X
Physical Therapist
Primary
PT 24940
FL

Other

Enumeration date
10/01/2009
Last updated
10/01/2009
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