Individual
OSMEL PERERA SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10570 SW 8TH ST, MIAMI, FL 33174-2612
(305) 222-1892
Mailing address
8290 LAKE DR APT 415, DORAL, FL 33166-4675
(786) 237-7991
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA28320
FL
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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