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1396462727
EDUARDO J MATILLA
TAMPA, FL
NPI
1396462727
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA31810)
Enumeration Date
2022-10-26
Last Update Date
2022-10-26
Business Address
EDUARDO J MATILLA
6117 GUNN HWY
TAMPA, FL 33625-4013
Phone number: 813-978-9700
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Mailing Address
EDUARDO J MATILLA
13020 N TELECOM PKWY
TEMPLE TERRACE, FL 33637-0915
Phone number: 813-978-9700
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