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Individual
GREGORY CARVAJAL
Active
Individual
GREGORY CARVAJAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
PTA12304
FL
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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