Individual
DAREN KARL OLALDE TIBURCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
3140 WATERMAN WAY, TAVARES, FL 32778-5252
(352) 253-3892
(352) 258-3809
Mailing address
107 PERKINS ST APT 6, LEESBURG, FL 34748-4952
(352) 895-7902
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
PT37815
FL
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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