Individual
MR. EDWARD GONZALO REYES CACERES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA94672
Contact information
Practice address
6551 ARLEIGH CT APT 107, BOCA RATON, FL 33433-7856
(754) 249-3626
Mailing address
6551 ARLEIGH CT APT 107, BOCA RATON, FL 33433-7856
(754) 249-3626
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA94672
FL
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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