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Individual

CARLOS LUIS SALAZAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3308 NE 34TH ST, FORT LAUDERDALE, FL 33308-6906
(954) 564-3200
Mailing address
3308 NE 34TH ST, FORT LAUDERDALE, FL 33308-6906
(954) 564-3200

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
27529
FL

Other

Enumeration date
05/11/2017
Last updated
05/11/2017
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