Individual
MR. CARLOS RAULO PERDOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
955 NW 3RD ST, MIAMI, FL 33128-1274
(305) 548-4020
Mailing address
6901 YUMURI ST, CORAL GABLES, FL 33146-3607
(305) 414-4967
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
20525
FL
Other
Enumeration date
12/21/2012
Last updated
12/21/2012
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