Individual
HOMER BUSI PIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12272 WEST SAMPLE ROAD, CORAL SPRING, FL 33065
(571) 215-6850
Mailing address
12272 W SAMPLE RD, CORAL SPRINGS, FL 33065-4227
(571) 215-6850
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2128459
TX
Other
Enumeration date
06/14/2017
Last updated
07/21/2022
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