Individual
JOHN ALBERT PAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5380 SW 61ST AVE, DAVIE, FL 33314-5307
(954) 918-2647
Mailing address
5380 SW 61ST AVE, DAVIE, FL 33314-5307
(954) 918-2647
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OAT 13242
FL
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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