Individual
MR. CANDIDO GERENA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1893 NE MIAMI GARDENS DR, MIAMI, FL 33179-5035
(305) 682-0080
(305) 682-0775
Mailing address
9596 SW 5TH LN, MIAMI, FL 33174-2120
(305) 227-5685
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1414
FL
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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