Individual
DR. ANGEL CEBALLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
9415 SUNSET DR STE 111, MIAMI, FL 33173-5492
(786) 507-8278
Mailing address
9873 SW 159TH PL, MIAMI, FL 33196-6629
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT35090
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT35090
PT LICENSE
FL
Enumeration date
08/23/2019
Last updated
08/28/2019
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