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1821560756
SHANE D'AMICO
BOYNTON BEACH, FL
NPI
1821560756
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: FL PTA23992)
Enumeration Date
2018-12-17
Last Update Date
2018-12-17
Business Address
SHANE D'AMICO PTA
6609 W WOOLBRIGHT RD STE 420
BOYNTON BEACH, FL 33437-0917
Phone number: 561-200-4262
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Mailing Address
SHANE D'AMICO PTA
6609 W WOOLBRIGHT RD STE 420
BOYNTON BEACH, FL 33437-0917
Phone number: 561-200-4262
Copy
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