Individual
JOSE BALLESTEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 NE 125TH ST, NORTH MIAMI, FL 33161-6034
(305) 915-8900
Mailing address
7601 E TREASURE DR APT PH204, NORTH BAY VILLAGE, FL 33141-4391
(786) 210-6139
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN3242802
FL
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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