Individual
RANDALL CANTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACUPUNCTURIST
Contact information
Practice address
3399 NW 72ND AVE, MIAMI, FL 33122-1349
(305) 934-9777
Mailing address
4667 NW 99TH AVE, SUNRISE, FL 33351-4735
(305) 934-9777
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP4209
FL
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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