Individual
FELIPE MODENESE BASTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3194 GIFFORD LN, MIAMI, FL 33133-4431
(571) 345-4224
Mailing address
3194 GIFFORD LN, MIAMI, FL 33133-4431
(571) 345-4224
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT19039
FL
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/21/2018
Last updated
10/15/2025
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