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Individual

IDALIS MEDINA HONDAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
311 NE 8TH ST, SUIT 104, HOMESTEAD, FL 33030-4738
(305) 248-8600
(184) 427-2815
Mailing address
14439 SW 126TH PL, MIAMI, FL 33186-7405
(786) 237-9605

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA27215
FL

Other

Enumeration date
01/22/2017
Last updated
01/22/2017
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