Individual
ERNESTO AVIEL LEIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19820 NE 22ND AVE, AVENTURA, FL 33180-2137
(305) 457-1409
Mailing address
19820 NE 22ND AVE, AVENTURA, FL 33180-2137
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
RPT91512
FL
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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