ISIDRO TUCKER MADRID
Restorative Service Providers at 10 St, Grenelefe, FL

License number
Florida PTAT24311
Category
Restorative Service Providers
Type
Physical Therapy Assistant
Address
Address
306 S 10Th St SUITE 310, Grenelefe, FL 33844
Phone
(863) 421-2000
(863) 421-2002 (Fax)
National Provider ID: 1164854311
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Isidro Madrid, age 76
6 Cricket Pl, Haines City, FL 33844
(863) 421-2186
Isidro Tucker Madrid, age 76
6 Cricket Pl, Haines City, FL 33844
(863) 381-5945
Isidro R Madrid, age 76
3210 Lakeview E, Haines City, FL 33844

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