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1164466116
JUAN JOSE VILLEDA
TAMPA, FL
NPI
1164466116
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT21168)
Enumeration Date
2006-06-16
Last Update Date
2007-07-08
Business Address
Mr. JUAN JOSE VILLEDA PT
13000 BRUCE B DOWNS BLVD 117
TAMPA, FL 33612-4745
Phone number: 813-972-2000
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Mailing Address
Mr. JUAN JOSE VILLEDA PT
3954 FIELDGREEN PL
LAND O LAKES, FL 34639-4211
Phone number:
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