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1407577117
SANTIAGO CARBONELL
LARGO, FL
NPI
1407577117
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA30042)
Enumeration Date
2022-09-09
Last Update Date
2022-09-09
Business Address
SANTIAGO CARBONELL
1345 W BAY DR STE 404
LARGO, FL 33770-2264
Phone number: 727-281-8940
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Mailing Address
SANTIAGO CARBONELL
12001 DR MARTIN LUTHER KING JR ST N APT 4402
ST PETERSBURG, FL 33716-1614
Phone number:
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