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1245881218
JORGE BLANCO
MIAMI, FL
NPI
1245881218
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA29225)
Enumeration Date
2019-09-21
Last Update Date
2019-09-21
Business Address
JORGE BLANCO PTA
5200 NE 2ND AVE
MIAMI, FL 33137-2706
Phone number: 305-751-8626
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Mailing Address
JORGE BLANCO PTA
8477 S SUNCOAST BLVD
HOMOSASSA, FL 34446-5028
Phone number: 352-448-7857
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