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Individual

AMANTE DANIEL DIEGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
8200 SW 117TH AVE STE 300, MIAMI, FL 33183-4826
(786) 870-5426
Mailing address
2600 SW 116TH TER APT 304, MIRAMAR, FL 33025-7576

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA30055
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PTA30055
STATE OF FLORIDA
FL
Enumeration date
07/19/2021
Last updated
07/19/2021
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