Individual
LUIS A TELLEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
9085 SW 87TH AVE, SUITE # 201, MIAMI, FL 33176
(305) 316-9777
(305) 270-2284
Mailing address
3172 SW 27TH AVE, UNIT # 1, COCONUT GROVE, FL 33133-4636
(305) 316-0777
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 52691
FL
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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