Individual
LIDICE CARBONEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7840 SW 131ST AVE, MIAMI, FL 33183-4261
(786) 493-9204
(786) 536-2404
Mailing address
7840 SW 131ST AVE, MIAMI, FL 33183-4261
(786) 493-9204
(786) 536-2404
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA23424
FL
Other
Enumeration date
03/19/2013
Last updated
03/19/2013
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