Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GREGORY CARVAJAL, PTA
Active Sole ProprietorGREGORY CARVAJAL, PTA is a Sports Medicine (PM&R) healthcare provider located in MIAMI GARDENS, Florida. NPI 1306404843 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · MIAMI GARDENS, FL
Registration Details
- NPI Number
- 1306404843
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 30, 2019 (7.1946729268778 yrs)
- Last Updated
- May 30, 2019
- License
-
PTA12304 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3425 NW 180TH STMIAMI GARDENS, FL, 330563429Browse FL providers · Browse ZIP 33056
- Phone
- 7866633936
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.