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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LUIS BERNARDO TRUJILLO, MA 39379

Active Sole Proprietor

LUIS BERNARDO TRUJILLO, MA 39379 is a Rehabilitation Clinic healthcare provider located in VALRICO, Florida. NPI 1396073078 is currently active in the NPPES registry. Verify at CMS.

Rehabilitation Clinic · VALRICO, FL

Registration Details

NPI Number
1396073078
Provider Type
Individual
Gender
Male
NPI Issued
Nov 18, 2009 (16.770569615968 yrs)
Last Updated
Nov 18, 2009
License
MA39379 (FL)
Sole Proprietor
Yes

Practice Information

Address
2614 VINEDALE AVE
VALRICO, FL, 335967383
Browse FL providers · Browse ZIP 33596
Phone
8137190326
Primary Specialty
Rehabilitation Clinic
261QR0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.