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1265565907
KEITH BRADLEY STARK
PALM HARBOR, FL
NPI
1265565907
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT21717)
Enumeration Date
2007-03-13
Last Update Date
2008-07-01
Business Address
-- KEITH BRADLEY STARK PT, DPT
33100 US HIGHWAY 19 N
PALM HARBOR, FL 34684-3127
Phone number: 727-789-6008
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Mailing Address
-- KEITH BRADLEY STARK PT, DPT
7440 TRANSOM CT
TAMPA, FL 33607-5870
Phone number: 813-404-3799
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