Individual
PAUL L SGANGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1902 59TH ST W, BRADENTON, FL 34209-4602
(941) 761-1000
Mailing address
3813 GULF BLVD APT 213, ST PETE BEACH, FL 33706-3922
(203) 885-4475
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
27829
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27829
—
FL
Enumeration date
02/05/2019
Last updated
02/05/2019
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