Individual
CAMILO EDGARDO GARZONLOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 NW 95TH ST, MIAMI, FL 33150-2032
(305) 853-5848
Mailing address
5610 NW 107TH AVE APT 1310, DORAL, FL 33178-4940
(305) 301-7085
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
25555
FL
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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