Individual
OMAR GIL BENITEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
17754 NW 59TH AVE UNIT 102, HIALEAH, FL 33015-5149
(786) 768-3465
Mailing address
17754 NW 59TH AVE UNIT 102, HIALEAH, FL 33015-5149
(786) 768-3465
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA23559
FL
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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