Individual
MR. CARLOS J JUSTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.T.
Contact information
Practice address
351 NW 42ND AVE, SUITE # 302, MIAMI, FL 33126-5683
(786) 239-0823
Mailing address
13444 SW 62ND ST APT F112, MIAMI, FL 33183-5074
(305) 387-3133
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
CRT 63490
FL
Other
Enumeration date
06/15/2007
Last updated
07/08/2007
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