Individual
JOSE A. TRAVIESO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
2600 W FLAGLER ST, MIAMI, FL 33135-1425
(305) 644-7569
(305) 644-3074
Mailing address
12327 NW 7TH LN, MIAMI, FL 33182-2019
(305) 297-8623
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
1701-0086-0609-374
FL
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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