Individual
OMAR CARABALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7154 SW 47TH ST, MIAMI, FL 33155-4664
(305) 447-8981
Mailing address
7154 SW 47TH ST, MIAMI, FL 33155-4664
(305) 447-8981
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
20914
FL
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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