Individual
ROMAN DORTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1903 SW 123RD AVE, MIAMI, FL 33175-1168
(305) 528-2989
Mailing address
1903 SW 123RD AVE, MIAMI, FL 33175-1168
(305) 528-2989
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA29337
FL
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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