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Individual

BRIAN ETHEN BARBOSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2142 NE 123RD ST, NORTH MIAMI, FL 33181-2902
(305) 967-8976
Mailing address
8840 NW 99TH PATH, DORAL, FL 33178-2762

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT41395
FL

Other

Enumeration date
03/26/2024
Last updated
03/26/2024
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