Individual
JERMAINE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13455 SW 22ND ST, MIRAMAR, FL 33027-2675
(866) 907-4797
(866) 908-4797
Mailing address
13455 SW 22ND ST, MIRAMAR, FL 33027-2675
(866) 907-4797
(866) 908-4797
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA16069
FL
Other
Enumeration date
02/11/2008
Last updated
02/11/2008
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