Individual
SHANE D'AMICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6609 W WOOLBRIGHT RD STE 420, BOYNTON BEACH, FL 33437-0917
(561) 200-4262
(561) 200-4268
Mailing address
6609 W WOOLBRIGHT RD STE 420, BOYNTON BEACH, FL 33437-0917
(561) 200-4262
(561) 200-4268
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTA23992
FL
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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