Individual
DIANA JOVANOV BERMUDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
7805 CORAL WAY STE 127, MIAMI, FL 33155-6557
(305) 631-2106
Mailing address
3530 SW 111TH AVE, MIAMI, FL 33165-3559
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
PT26985
FL
225100000X
Physical Therapist
Primary
PT26985
FL
Other
Enumeration date
04/06/2017
Last updated
03/09/2024
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