Individual
GILBERTO AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
11300 SW 45TH ST, MIAMI, FL 33165-5542
(954) 459-5990
Mailing address
PO BOX 652322, MIAMI, FL 33265-2322
(954) 459-5990
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT16028
FL
Other
Enumeration date
09/22/2014
Last updated
03/18/2021
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