JOHNNY BUSTAMANTE

DORAL, FL
NPI1891114880
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA23842)
Enumeration Date2014-04-07
Last Update Date2014-04-07
Business Address
-- JOHNNY BUSTAMANTE
3900 NW 79TH AVE STE 500
DORAL, FL 33166-6549
Phone number: 305-591-4181
Mailing Address
-- JOHNNY BUSTAMANTE
13700 SW 149TH CIRCLE LN APT 1
MIAMI, FL 33186-8257
Phone number: 786-487-5969
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