Individual
FABRIZZIO MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
305 E OAK ST, APOPKA, FL 32703-4352
(407) 543-6629
Mailing address
16613 GOLFVIEW DR, WESTON, FL 33326-1803
(954) 330-2164
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
29079
FL
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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