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NPI Code Detail

MEDICARE: MS. DINA M TRAFICANTE MPT

MEDICARE: MS. DINA M TRAFICANTE MPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT25438FL

General Provider Information

NPI Number : 1144252651
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DINA M TRAFICANTE MPT
Provider Business Mailing Address
First Line : 602 VONDERBURG DR
Second Line : SUITE 201
City : BRANDON
State : FL
Zip : 33511-5900
Country : US
Telephone Number : 863-617-9400
Fax Number :
Provider Business Practice Location Address
First Line : 602 VONDERBURG DR
Second Line : SUITE 201
City : BRANDON
State : FL
Zip : 33511-5900
Country : US
Telephone Number : 863-617-9400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2006
Last Update Date : 03/09/2015

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Directions to “ MS. DINA M TRAFICANTE MPT” Practice Location

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