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Individual

DR. STANISLAW ANTHONY SOWINSKI JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
15150 BULL RUN RD, MIAMI LAKES, FL 33014-2167
(305) 364-0969
(305) 364-0937
Mailing address
7610 SW 82ND CT., MIAMI, FL 33143
(305) 491-4039

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT31473
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT31473
PHYSICAL THERAPY LICENSE
FL
Enumeration date
08/16/2016
Last updated
08/16/2016
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