CARLOS R VIZCARRONDO

PALM BAY, FL
NPI1619704228
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: FL  OTA20036)
Enumeration Date2024-09-17
Last Update Date2024-09-19
Business Address
CARLOS R VIZCARRONDO COTA/L
123 HEARTHSIDE AVE NW
PALM BAY, FL 32907-6822
Phone number: 321-576-5068
Mailing Address
CARLOS R VIZCARRONDO COTA/L
123 HEARTHSIDE AVE NW
PALM BAY, FL 32907-6822
Phone number: 321-576-5068