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1477693588
VICTOR DERIENZO
JACKSONVILLE, FL
NPI
1477693588
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT 21246)
Enumeration Date
2007-02-07
Last Update Date
2007-07-08
Business Address
-- VICTOR DERIENZO PT
14444 BEACH BLVD
JACKSONVILLE, FL 32250-2079
Phone number: 904-858-7510
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Mailing Address
-- VICTOR DERIENZO PT
13069 SIR ROGERS CT S
JACKSONVILLE, FL 32224-1611
Phone number: 904-858-7514
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