Individual
JAVIER PERDOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA, LMT
Contact information
Practice address
1940 DELAWARE PKWY, MIAMI, FL 33125-1116
(786) 587-9692
Mailing address
1940 DELAWARE PKWY, MIAMI, FL 33125-1116
(786) 587-9692
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
27987
FL
225700000X
Massage Therapist
MA 63908
FL
Other
Enumeration date
07/04/2011
Last updated
03/17/2018
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