Individual
MR. DOMINICK MAURICI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
9905 NW 79 AVE, HIALEAH GARDENS, FL 33016
(305) 205-6161
Mailing address
9905 NW 79 AVE, HIALEAH GARDENS, FL 33016
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA28968
FL
Other
Enumeration date
12/09/2018
Last updated
06/11/2019
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