Individual
ERNESTO A BAEZ SERPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4530 SW 68TH COURT CIR APT 7, MIAMI, FL 33155-6871
(305) 519-6424
Mailing address
12340 SW 205TH ST, MIAMI, FL 33177-5656
(305) 519-6424
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
FL
225700000X
Massage Therapist
Primary
104852
FL
Other
Enumeration date
02/21/2018
Last updated
07/15/2024
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