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1962065284
JASON A. PERALTA
LAKELAND, FL
NPI
1962065284
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT25169)
Enumeration Date
2019-04-22
Last Update Date
2019-04-22
Business Address
JASON A. PERALTA PT
771 CARPENTERS WAY
LAKELAND, FL 33809-3922
Phone number: 727-803-1102
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Mailing Address
JASON A. PERALTA PT
260 1ST AVE S STE 200
SAINT PETERSBURG, FL 33701-4364
Phone number: 727-803-1102
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