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1881204345
ELIAS HENRIQUEZ
MIAMI, FL
NPI
1881204345
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT36043)
Enumeration Date
2020-08-08
Last Update Date
2023-03-28
Business Address
Mr. ELIAS HENRIQUEZ DPT
9415 SUNSET DR STE 111
MIAMI, FL 33173-5492
Phone number: 786-507-8278
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Mailing Address
Mr. ELIAS HENRIQUEZ DPT
21756 STATE ROAD 54 STE 102
LUTZ, FL 33549-2905
Phone number: 727-475-5540
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