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Individual

ADRIAN JOHN LATSCU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
4820 W NEWBERRY RD, GAINESVILLE, FL 32607-2249
(352) 373-2116
Mailing address
4126 NW 44TH DR, GAINESVILLE, FL 32606-4593
(352) 213-8422

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA26151
FL

Other

Enumeration date
11/09/2017
Last updated
11/09/2017
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