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1134902570
SANTIAGO MEDINA
TAMPA, FL
NPI
1134902570
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL 40485)
Enumeration Date
2023-08-18
Last Update Date
2023-08-18
Business Address
SANTIAGO MEDINA
13000 BRUCE B DOWNS BLVD
TAMPA, FL 33612-4745
Phone number: 813-972-2000
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Mailing Address
SANTIAGO MEDINA
8859 INDIGO TRAIL LOOP
RIVERVIEW, FL 33578-2301
Phone number: 786-521-0987
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