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Individual

CARLOS MIRABAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPT

Contact information

Practice address
8415 CORAL WAY, SUITE 203, MIAMI, FL 33155-2305
(305) 265-9686
Mailing address
13901 SW 75TH ST, MIAMI, FL 33183-3011

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT18702
FL

Other

Enumeration date
09/01/2006
Last updated
07/08/2007
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