Individual
ALEXANDER MATTHEW AJAN PANEQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 WASHINGTON AVE, HOMESTEAD, FL 33030-6034
(305) 704-0313
Mailing address
18631 NW 49TH CT, OPA LOCKA, FL 33055-2402
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT44058
FL
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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