Individual provider · Type 1 NPI
Luis Bernardo Trujillo, MA 39379
Rehabilitation Clinic/Center · Valrico, FL
NPI number
1396073078
Active
Practice location
2614 Vinedale Ave
Valrico, FL 33596-7383
Mailing address
500 W Martin Luther King Blvd
Tampa, FL 33603-3402
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Clinic/Center Primary | 261QR0400X | MA39379 (FL) |
Rehabilitation Clinic/Center: Definition to come...
About NPI 1396073078
Luis Bernardo Trujillo, MA 39379's National Provider Identifier is 1396073078, issued on Nov 18, 2009. The primary taxonomy on file is Rehabilitation Clinic/Center (261QR0400X), and the practice location is in Valrico, FL. The record was last updated on Nov 18, 2009.