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1518066901
THOMAS DEAZA
MIAMI, FL
NPI
1518066901
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: FL PT-18830)
Enumeration Date
2006-09-21
Last Update Date
2007-07-09
Business Address
-- THOMAS DEAZA MSPT
11252 SW 152ND PL
MIAMI, FL 33196-4369
Phone number: 305-388-7702
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Mailing Address
-- THOMAS DEAZA MSPT
5760 SW 11TH ST
WEST MIAMI, FL 33144-5108
Phone number: 305-215-8084
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