MACMILLAN INNOCENT

HOLLYWOOD, FL
NPI1659473254
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  19229)
Enumeration Date2006-09-02
Last Update Date2009-01-04
Business Address
-- MACMILLAN INNOCENT PT
3501 JOHNSON ST
HOLLYWOOD, FL 33021-5421
Phone number: 954-987-2020
Mailing Address
-- MACMILLAN INNOCENT PT
13691 SW 49TH CT
MIRAMAR, FL 33027-5909
Phone number: 954-559-2977
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