Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | PTA29849 | FL |
NPI | 1013531466 |
---|---|
Provider Name | Mr. Nestor Morfa |
First Address | Miami, FL 33135-1964 |
Second Address | Miami, FL 33135-1964 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2020 |
Last Update Date | 10/11/2020 |