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1013553742
ANTHONY BENCOMO
MIAMI GARDENS, FL
NPI
1013553742
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: FL OT10450)
Enumeration Date
2019-11-18
Last Update Date
2019-11-18
Business Address
Mr. ANTHONY BENCOMO OTR/L
5725 NW 186TH ST
MIAMI GARDENS, FL 33015-6019
Phone number: 305-625-9857
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Mailing Address
Mr. ANTHONY BENCOMO OTR/L
10901 SW 106TH AVE
MIAMI, FL 33176-3440
Phone number: 305-632-5950
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