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MR. DANIELE B D'AMBROSIO MPT
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1114020559
Individual Registrant:MR. DANIELE B D'AMBROSIO MPT
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
966 NAUTILUS ISLE DANIA BEACH, FL 33004-2356 US
Tel: 954-476-5928 Fax: 954-530-7240
Tel: 954-476-5928 Fax: 954-530-7240
Contact information for business:
966 NAUTILUS ISLE DANIA BEACH, FL 33004-2356 US
Tel: 954-476-5928 Fax: 954-530-7240
Tel: 954-476-5928 Fax: 954-530-7240
Registration Information:
NPI: 1114020559
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | FL | 17717 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 887850100 | FL | 05 |
