Provider Demographics
NPI:1700352085
Name:ANGULO LABRADA, FRANCISCO MANUEL I (PTA)
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:MANUEL
Last Name:ANGULO LABRADA
Suffix:I
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:934 SW 82ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-4240
Mailing Address - Country:US
Mailing Address - Phone:786-637-2941
Mailing Address - Fax:
Practice Address - Street 1:934 SW 82ND AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-4240
Practice Address - Country:US
Practice Address - Phone:786-637-2941
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-15
Last Update Date:2018-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTA24717225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant