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Individual

ANTHONY GREGORY REYES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
17400 NW 68TH AVE #317, HIALEAH, FL 33015-4075
(786) 877-4030
Mailing address
17400 NW 68TH AVE #317, HIALEAH, FL 33015-4075
(786) 877-4030

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL3130
FL
225700000X
Massage Therapist
MA18819
FL

Other

Enumeration date
09/08/2014
Last updated
09/08/2014
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