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1578706057
MIGUEL TRAIFALGAR DECASTRO
SARASOTA, FL
NPI
1578706057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2251G0304X Physical Therapist, Geriatrics
(Licence: FL PT-20585)
Enumeration Date
2009-04-13
Last Update Date
2009-04-13
Business Address
Mr. MIGUEL TRAIFALGAR DECASTRO PT
4730 BEE RIDGE RD
SARASOTA, FL 34233-1442
Phone number: 941-377-1286
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Mailing Address
Mr. MIGUEL TRAIFALGAR DECASTRO PT
6722 71ST ST E
BRADENTON, FL 34203-7173
Phone number: 941-758-1283
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