Individual
JESUS VERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
827 W 74TH ST, HIALEAH, FL 33014-4701
(786) 337-1137
Mailing address
827 W 74TH ST, HIALEAH, FL 33014-4701
(786) 337-1137
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
14-178
FL
Other
Enumeration date
06/09/2018
Last updated
06/09/2018
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