Individual
RAMONA SUSANA MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8100 SW 81ST DR STE 290, MIAMI, FL 33143-6603
(786) 486-4706
Mailing address
13971 SW 43RD ST, MIAMI, FL 33175-3605
(786) 486-4706
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
MA39568
FL
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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