Individual
EDILENE TIZZO TOZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
14505 COMMERCE WAY STE 450, MIAMI LAKES, FL 33016-1588
(305) 512-1550
Mailing address
4001 SAPPHIRE LN, WESTON, FL 33331-3174
(954) 389-3040
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT22692
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010060900
—
FL
Enumeration date
02/02/2009
Last updated
02/02/2009
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