Individual
LUIS A. FLEITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FMD
Contact information
Practice address
1550 SW 1ST ST, SUITE 21-23, MIAMI, FL 33135-2162
(305) 642-8325
(305) 643-7713
Mailing address
11031 NE 6TH AVE, MIAMI, FL 33161-7182
(305) 398-6100
(305) 757-4465
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
767066400
—
FL
Enumeration date
06/15/2006
Last updated
05/21/2008
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