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1942746433
ANTONELLA FORMISANO
MIAMI BEACH, FL
NPI
1942746433
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: FL F652003956720)
Enumeration Date
2017-01-09
Last Update Date
2017-01-09
Business Address
-- ANTONELLA FORMISANO
2555 COLLINS AVE
MIAMI BEACH, FL 33140-4723
Phone number: 305-767-5905
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Mailing Address
-- ANTONELLA FORMISANO
2555 COLLINS AVE
MIAMI BEACH, FL 33140-4723
Phone number:
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