Individual
LUIS E PADRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 E HALLANDALE BEACH BLVD STE 802, HALLANDALE BEACH, FL 33009-4841
(786) 222-4542
Mailing address
2500 E HALLANDALE BEACH BLVD STE 802, HALLANDALE BEACH, FL 33009-4841
(786) 222-4542
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108699100
—
FL
Enumeration date
05/10/2021
Last updated
02/11/2022
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