ANGEL L LARA

TAMPA, FL
NPI1053292912
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  28508)
Enumeration Date2025-09-09
Last Update Date2025-09-09
Business Address
-- ANGEL L LARA
8802 POE DR
TAMPA, FL 33615-1922
Phone number: 305-967-3508
Mailing Address
-- ANGEL L LARA
8802 POE DR
TAMPA, FL 33615-1922
Phone number: 305-967-3508
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