Individual
SERGIO ANTONIO ENCINOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12890 POINSETTIA AVE, SEMINOLE, FL 33776-4317
(786) 351-1589
Mailing address
5949 BAYVIEW CIR S, GULFPORT, FL 33707-3929
(786) 351-1589
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
12/29/2015
Last updated
01/04/2016
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