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1801373634
JORGE GAVILLA
DORAL, FL
NPI
1801373634
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL 28361)
Enumeration Date
2018-07-24
Last Update Date
2018-07-24
Business Address
JORGE GAVILLA PTA
2600 NW 87TH AVE STE 22
DORAL, FL 33172-1619
Phone number: 305-592-5555
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Mailing Address
JORGE GAVILLA PTA
1285 W 76TH ST
HIALEAH, FL 33014-3422
Phone number: 786-230-6296
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