Individual
ANTHONY VASTANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
600 W NORTH BLVD,, SUITE D, LEESBURG, FL 34748-5063
(352) 728-6636
Mailing address
1134 FIELDBROOK WAY, THE VILLAGES, FL 32163-2225
(856) 305-4965
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40QA00452300
NJ
225100000X
Physical Therapist
Primary
PT 31651
FL
Other
Enumeration date
10/23/2006
Last updated
12/08/2016
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