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1043745490
FORTUNATO LUCANOS MA DE GRACIA
PEMBROKE PINES, FL
NPI
1043745490
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT31840)
Enumeration Date
2017-04-24
Last Update Date
2017-04-24
Business Address
-- FORTUNATO LUCANOS MA DE GRACIA
12315 PEMBROKE RD
PEMBROKE PINES, FL 33025-1723
Phone number: 954-435-5300
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Mailing Address
-- FORTUNATO LUCANOS MA DE GRACIA
15872 SW 51ST ST
MIRAMAR, FL 33027-4975
Phone number:
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