SANTIAGO CARBONELL

LARGO, FL
NPI1407577117
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA30042)
Enumeration Date2022-09-09
Last Update Date2022-09-09
Business Address
SANTIAGO CARBONELL
1345 W BAY DR STE 404
LARGO, FL 33770-2264
Phone number: 727-281-8940
Mailing Address
SANTIAGO CARBONELL
12001 DR MARTIN LUTHER KING JR ST N APT 4402
ST PETERSBURG, FL 33716-1614
Phone number: