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NPI Code Detail

MEDICARE: MR. TRISTAN MARTIN GATTO PTA

MEDICARE:  MR. TRISTAN MARTIN GATTO  PTA
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
1225200000XPhysical Therapy Assistant34061FL

General Provider Information

NPI Number : 1932541208
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. TRISTAN MARTIN GATTO PTA
Provider Business Mailing Address
First Line : PO BOX 24561
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32241-4561
Country : US
Telephone Number : 813-786-6688
Fax Number :
Provider Business Practice Location Address
First Line : 909 N DALE MABRY HWY SIDE A
Second Line :
City : TAMPA
State : FL
Zip : 33609-1251
Country : US
Telephone Number : 813-978-9700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2013
Last Update Date : 01/06/2026

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Directions to “ MR. TRISTAN MARTIN GATTO PTA” Practice Location

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