Individual
JOSE LEZCANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 W 38TH ST, HIALEAH, FL 33012-4775
(786) 683-4007
Mailing address
1300 W 38TH ST, HIALEAH, FL 33012-4775
(786) 683-4007
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
27272
FL
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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