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Organization
PROFESSIONAL CARE SERVICES
Active
Organization
PROFESSIONAL CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUILLERMO JESUS OTERO (PRESIDENT)
(305) 885-5541
Entity
Organization
Contact information
Practice address
865 E 10TH AVE, HIALEAH, FL 33010-4645
(305) 885-5541
Mailing address
865 E 10TH AVE, HIALEAH, FL 33010-4645
(305) 885-5541
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH7490
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477750222
NPI
FL
Enumeration date
07/27/2007
Last updated
07/27/2007
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