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Individual

MR. BRIAN LUIS GIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
664 E 25TH ST STE 102, HIALEAH, FL 33013-3806
(786) 732-0189
(786) 429-3375
Mailing address
1355 W 44TH PL APT 321, HIALEAH, FL 33012-3368
(786) 542-4110

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
29374
FL

Other

Enumeration date
09/17/2019
Last updated
09/17/2019
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