Provider Demographics
NPI:1437465291
Name:DAHIROC, ALBERTO NUEZ (RPT)
Entity Type:Individual
Prefix:
First Name:ALBERTO
Middle Name:NUEZ
Last Name:DAHIROC
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4901 E SILVER SPRINGS BLVD STE 305
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34470-3200
Mailing Address - Country:US
Mailing Address - Phone:850-245-4373
Mailing Address - Fax:
Practice Address - Street 1:4901 E SILVER SPRINGS BLVD STE 305
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-3200
Practice Address - Country:US
Practice Address - Phone:850-245-4373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-31
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 25817225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist