Salas, Earlee Alfonso

Salas, Earlee Alfonso is an sole proprietor health care provider with primary practice located at 615 Vonderburg Dr , Brandon FL 33511-5972. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Salas, Earlee Alfonso can be contacted via phone (813) 654-1856.

Contact Information

Primary practice address
615 Vonderburg Dr Brandon FL 33511-5972
Phone: (813) 654-1856
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT3692 Florida

Profile Details

NPI number 1154515666
LBN Legal business name Salas, Earlee Alfonso
Credentials MS, PT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2007
Last updated Aug 29th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154515666 NPPES
Florida Other PT3692 LICENSE NUMBER

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