Individual
MR. JOSE LUIS FERREIROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PN
Contact information
Practice address
17441 NW 82ND CT, HIALEAH, FL 33015-3608
(786) 355-7381
Mailing address
17441 NW 82 CT, HIALEAH, FL 33015
(786) 355-7381
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN1359201
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PN1359201
DEPARTMENT OF HEALTH
FL
Enumeration date
12/20/2010
Last updated
12/20/2010
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