Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gallardo De Grano Hermoso, PT

Individual provider Physical Therapist · NPI 1407057904

Gallardo De Grano Hermoso, PT is a Physical Therapist in Lake Placid, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

125 Tomoka Blvd S
Lake Placid, FL 33852-8123
Phone: (863) 465-7200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT 23151 (FL)

Record details

NPI number1407057904
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedMay 30, 2007
Last updated in NPPESJuly 8, 2007

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