Individual
MR. ENRIQUE MONTEAGUDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
434 SW 12TH AVE, SUITE 102, MIAMI, FL 33130-2440
(305) 642-4055
Mailing address
11633 SW 133RD TER, MIAMI, FL 33176-8325
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61568
FL
Other
Enumeration date
02/11/2011
Last updated
02/11/2011
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