Guilaine Destrat
Specialist, Prosthetics Case Management in Tampa, FL. Individual provider (NPI-1).
NPI number1639627755
StatusActive
Last updated in NPPESSep 19, 2016
Details
- NPI
- 1639627755
- Entity type
- Individual (NPI-1)
- Name
- Guilaine Destrat
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 19, 2016
- Last updated
- Sep 19, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1744P3200X | Specialist, Prosthetics Case Management | CL1242744 | FL | Yes |
| 1744P3200X | Specialist, Prosthetics Case Management | 428798 | MD |
Practice location
1313 E Fletcher AveTampa, FL 33612-3629
Phone 301-266-7290
Mailing address
3350 W Hillsborough AveApt 1218
Tampa, FL 33614-1309
Phone 301-266-7290
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