Individual
MAX ORSOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4902 BAYSHORE BLVD, TAMPA, FL 33611-3870
(813) 835-4475
Mailing address
4902 BAYSHORE BLVD, TAMPA, FL 33611-3870
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
29819
FL
Other
Enumeration date
07/10/2022
Last updated
07/10/2022
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