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1053005793
JOSE CARLOS LORENZO
MIRAMAR, FL
NPI
1053005793
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL 31682)
Enumeration Date
2023-06-06
Last Update Date
2023-06-06
Business Address
Mr. JOSE CARLOS LORENZO PTA
12931 SW 17TH CT
MIRAMAR, FL 33027-2535
Phone number: 754-201-5297
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Mailing Address
Mr. JOSE CARLOS LORENZO PTA
12931 SW 17TH CT
MIRAMAR, FL 33027-2535
Phone number: 754-201-5297
Copy
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