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NPI Code Detail

MEDICARE: MR. ISAAC AGUILAR PTA

MEDICARE:  MR. ISAAC  AGUILAR  PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy AssistantPTA27286FL

General Provider Information

NPI Number : 1467092247
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ISAAC AGUILAR PTA
Provider Business Mailing Address
First Line : 2224 WASHINGTON ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33020-5963
Country : US
Telephone Number : 305-303-9387
Fax Number :
Provider Business Practice Location Address
First Line : 2224 WASHINGTON ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33020-5963
Country : US
Telephone Number : 305-303-9387
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2020
Last Update Date : 01/09/2020

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Directions to “ MR. ISAAC AGUILAR PTA” Practice Location

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