Individual
OSVALDO PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
12060 SW 129TH CT, SUITE 107, MIAMI, FL 33186-4581
(305) 378-5247
(305) 378-6760
Mailing address
12060 SW 129TH CT, SUITE 107, MIAMI, FL 33186-4581
(305) 378-5247
(305) 378-6760
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA18252
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA18252
DEPT OF HEALTH
FL
Enumeration date
10/28/2014
Last updated
10/28/2014
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