Individual
MR. ALVIN ANGELO JUSTINIANI VILLARANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6305 CORTEZ RD W, BRADENTON, FL 34210-2604
(941) 761-3499
(941) 567-1812
Mailing address
6305 CORTEZ RD W, BRADENTON, FL 34210-2604
(941) 761-3499
(941) 567-1812
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
RPT 11325
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT 11325
PT
FL
Enumeration date
01/08/2007
Last updated
01/10/2012
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