Individual
EDWARD DUNGCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6812 SW 81ST ST, MIAMI, FL 33143-7708
(305) 905-4188
Mailing address
6812 SW 81ST ST, MIAMI, FL 33143-7708
(305) 905-4188
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA28725
FL
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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