Gana-Tagle, Mitzi Marie

Gana-Tagle, Mitzi Marie is an individual health care provider with primary practice located at 1430 Lakeland Hills Blvd , Lakeland FL 33805. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Gana-Tagle, Mitzi Marie can be contacted via phone (863) 680-7700.

Contact Information

Primary practice address
1430 Lakeland Hills Blvd Lakeland FL 33805
Phone: (863) 680-7700
Fax: (863) 680-7958
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT19251 Florida

Profile Details

NPI number 1932173093
LBN Legal business name Gana-Tagle, Mitzi Marie
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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