Individual
JORGE IZQUIERDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
311 NE 8TH ST STE 104, HOMESTEAD, FL 33030-4734
(305) 248-8600
Mailing address
14329 SW 168TH TER, MIAMI, FL 33177-2072
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA28964
FL
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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