Individual
JORGE BAZANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
53 ASH DR, HOLLYWOOD, FL 33026-1102
(561) 767-4421
(561) 768-7269
Mailing address
100 KINGS POINT DR APT 1510, SUNNY ISLES BEACH, FL 33160-4730
(561) 900-6650
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
32002
FL
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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