Ivonne Sidney Bautista, | |
6850 Southgate Blvd Apt 114, Tamarac, FL 33321-5037 | |
(772) 333-9808 | |
Not Available |
Full Name | Ivonne Sidney Bautista |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 6850 Southgate Blvd Apt 114, Tamarac, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982445359 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 41653 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ivonne Sidney Bautista, 6850 Southgate Blvd Apt 114, Tamarac, FL 33321-5037 Ph: (772) 333-9808 | Ivonne Sidney Bautista, 6850 Southgate Blvd Apt 114, Tamarac, FL 33321-5037 Ph: (772) 333-9808 |
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