Individual
MR. AMADOR BUSUTIL VALDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
7911 NW 72ND AVE STE 116A, MEDLEY, FL 33166-2222
(786) 442-8923
Mailing address
12888 SW 151ST LN, MIAMI, FL 33186-6378
(786) 442-8923
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA28128
FL
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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