Organization
ANGEL PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IBRAHIM ROMAN RODRIGUEZ RODRIGUEZ DPT (PRESIDENT)
(305) 527-5303
Entity
Organization
Contact information
Practice address
9024 SUMMIT CENTRE WAY APT 101, ORLANDO, FL 32810-5960
(305) 527-5303
Mailing address
9024 SUMMIT CENTRE WAY APT 101, ORLANDO, FL 32810-5960
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/23/2024
Last updated
10/05/2024
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