Individual
LUZ ANASAGASTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20443 NW 11TH AVE, MIAMI, FL 33169-2342
(646) 755-5657
Mailing address
20443 NW 11TH AVENUE, MIAMI, FLORIDA 33169
(646) 755-5657
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01292000
—
FL
Enumeration date
05/01/2015
Last updated
05/01/2015
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