Individual
MR. JOHN HARRY AVILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14453 SW 172ND LN, MIAMI, FL 33177-6619
(786) 295-1905
Mailing address
14453 SW 172ND LN, MIAMI, FL 33177-6619
(786) 295-1905
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA18443
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA18443
MASSAGE LICENSE NUMBER
FL
Enumeration date
05/23/2020
Last updated
05/23/2020
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