Individual
FABIOLA VELEZ MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 S FLORIDA AVE, LAKELAND, FL 33801-5229
(863) 268-2608
Mailing address
12111 STREAMBED DR, RIVERVIEW, FL 33579-9301
(813) 810-7485
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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