Individual
MICHEL ANTONIO SALES BATISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136
(305) 585-1111
Mailing address
730 NW 148TH ST, MIAMI, FL 33168-3124
(786) 542-4161
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
17-353
CO
Other
Enumeration date
12/21/2019
Last updated
12/21/2019
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