FORTUNATO LUCANOS MA DE GRACIA

PEMBROKE PINES, FL
NPI1043745490
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  PT31840)
Enumeration Date2017-04-24
Last Update Date2017-04-24
Business Address
-- FORTUNATO LUCANOS MA DE GRACIA
12315 PEMBROKE RD
PEMBROKE PINES, FL 33025-1723
Phone number: 954-435-5300
Mailing Address
-- FORTUNATO LUCANOS MA DE GRACIA
15872 SW 51ST ST
MIRAMAR, FL 33027-4975
Phone number: