Individual
JOEL CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8302 NW 103RD ST STE 202, HIALEAH GARDENS, FL 33016-4698
(786) 953-4754
(786) 464-0561
Mailing address
8302 NW 103RD ST STE 202, HIALEAH GARDENS, FL 33016-4698
(786) 953-4754
(786) 464-0561
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA59656
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
01/29/2011
Last updated
01/29/2011
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