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Individual

PURAN A HEERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
300 E CHURCH ST, ORLANDO, FL 32801-3544
(757) 319-8267
Mailing address
1626 CROYDON ST, ORLANDO, FL 32828-6850
(757) 319-8267

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA23796
FL

Other

Enumeration date
11/12/2024
Last updated
11/12/2024
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