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1619512712
ROMAN DORTA
MIAMI, FL
NPI
1619512712
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA29337)
Enumeration Date
2019-11-12
Last Update Date
2019-11-12
Business Address
ROMAN DORTA
1903 SW 123RD AVE
MIAMI, FL 33175-1168
Phone number: 305-528-2989
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Mailing Address
ROMAN DORTA
1903 SW 123RD AVE
MIAMI, FL 33175-1168
Phone number: 305-528-2989
Copy
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