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Nicholas Vultaggio

Physical Therapist in Winter Haven, FL. Individual provider (NPI-1).

NPI number1346851839
StatusActive
Last updated in NPPESAug 10, 2020

Details

NPI
1346851839
Entity type
Individual (NPI-1)
Name
Nicholas Vultaggio
Sex
Male
Sole proprietor
No
Enumeration date
Aug 10, 2020
Certification date
Aug 10, 2020
Last updated
Aug 10, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT36082FLYes

Practice location

5535 Cypress Gardens Blvd Ste 260
Winter Haven, FL 33884-2241

Phone 727-475-5540

Mailing address

21756 State Road 54 Ste 102
Lutz, FL 33549-2905

Phone 727-475-5540

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