Individual
JONATHAN DUBBANEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2888 RINGLING BLVD UNIT CD, SARASOTA, FL 34237-5331
(941) 413-5100
(941) 388-7292
Mailing address
4405 BANYAN TREE PL, RIVERVIEW, FL 33578-3039
(941) 268-5809
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
25514
FL
Other
Enumeration date
03/29/2021
Last updated
03/29/2021
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