Individual
JOSE MANUEL ASTUDILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
815 NW 57TH AVE STE 120, MIAMI, FL 33126-2041
(305) 777-3563
Mailing address
815 NW 57TH AVE STE 120, MIAMI, FL 33126-2041
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/13/2017
Last updated
09/13/2017
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