Individual
ADRIAN SIMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSATC, LMT
Contact information
Practice address
13380 SW 34TH ST, MIAMI, FL 33175-6907
(305) 992-6685
Mailing address
13380 SW 34TH ST, MIAMI, FL 33175-6907
(305) 992-6685
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
AL1688
FL
174400000X
Specialist
Primary
MA19189
FL
225700000X
Massage Therapist
MA19189
FL
Other
Enumeration date
02/23/2015
Last updated
04/20/2023
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