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Organization
MIRTA BATISTA TATUM INC
Active
Organization
MIRTA BATISTA TATUM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MIRTA BATISTA TATUM RPT (PHYSICAL THERAPIST)
(754) 246-0625
Entity
Organization
Contact information
Practice address
4767 SW 195TH TER, MIRAMAR, FL 33029-6209
(754) 246-0625
Mailing address
4767 SW 195TH TER, MIRAMAR, FL 33029-6209
(754) 246-0625
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0004025
FL
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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