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1548563430
PHILIP IVANOV
PALM HARBOR, FL
NPI
1548563430
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL 26058)
Enumeration Date
2010-12-15
Last Update Date
2010-12-15
Business Address
PHILIP IVANOV
180 ALT 19 SUITE B
PALM HARBOR, FL 34683-5308
Phone number: 727-785-8737
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Mailing Address
PHILIP IVANOV
180 ALT 19 SUITE B
PALM HARBOR, FL 34683-5308
Phone number: 727-785-8737
Copy
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