JORGE BAZANTE

HOLLYWOOD, FL
NPI1679204713
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  32002)
Enumeration Date2022-06-20
Last Update Date2022-06-20
Business Address
JORGE BAZANTE
53 ASH DR
HOLLYWOOD, FL 33026-1102
Phone number: 561-767-4421
Mailing Address
JORGE BAZANTE
100 KINGS POINT DR APT 1510
SUNNY ISLES BEACH, FL 33160-4730
Phone number: 561-900-6650