Individual
CARLOS ENRIQUE NEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1500 SW 21ST ST, MIAMI, FL 33145-2844
(305) 856-4569
Mailing address
1500 SW 21ST ST, MIAMI, FL 33145-2844
(305) 856-4569
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA20752
FL
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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