Individual
JOSE LUIS CUEVAS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4401 E COLONIAL DR STE 107, ORLANDO, FL 32803
(407) 898-5060
Mailing address
12704 WATERFORD WILLOW LN APT 202, ORLANDO, FL 32828
(689) 217-5353
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA32717
FL
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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