Individual
MANUEL M PENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4200 SW 89TH AVE, MIAMI, FL 33165-5336
(305) 226-8152
Mailing address
11815 SW 51ST ST, MIAMI, FL 33175-5609
(305) 479-4328
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/06/2010
Last updated
08/06/2010
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