Provider Demographics
NPI:1447407051
Name:ZANNINO, ROCCO JAMES (LMT)
Entity Type:Individual
Prefix:MR
First Name:ROCCO
Middle Name:JAMES
Last Name:ZANNINO
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 LAUGHING SPRINGS RD
Mailing Address - Street 2:PHYSIO-LOGIC
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-5703
Mailing Address - Country:US
Mailing Address - Phone:813-681-7179
Mailing Address - Fax:813-651-3389
Practice Address - Street 1:401 LAUGHING SPRINGS RD
Practice Address - Street 2:PHYSIO-LOGIC
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-5703
Practice Address - Country:US
Practice Address - Phone:813-681-7179
Practice Address - Fax:813-651-3389
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-26
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA18875225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist