Individual
MR. MIGUEL LIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.S.A.
Contact information
Practice address
4300 ALTON RD, MIAMI BEACH, FL 33140-2800
(305) 674-2720
(305) 674-2723
Mailing address
6050 NW 194TH TER, HIALEAH, FL 33015-4809
(786) 390-8331
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
00194
FL
Other
Enumeration date
01/25/2007
Last updated
08/14/2008
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