Individual
LEO HURTADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1540 6TH ST NW, WINTER HAVEN, FL 33881-2368
(863) 294-3055
Mailing address
3081 GRAND PRESERVE BLVD, MULBERRY, FL 33860-0079
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA24219
FL
Other
Enumeration date
05/23/2017
Last updated
05/23/2017
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