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Individual

BYRON E AMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
4270 MINTON RD, SUITE 120, WEST MELBOURNE, FL 32904-9578
(321) 690-6612
(321) 690-2630
Mailing address
660 E EAU GALLIE BLVD, SUITE 106, INDIAN HARBOUR BEACH, FL 32937-4252
(321) 773-5290
(321) 773-5268

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 2171
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT2171
PT LICENSE
FL
Enumeration date
07/05/2007
Last updated
06/16/2017
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