Individual
AMED I CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1040 NE 14TH AVE, HOMESTEAD, FL 33033-4524
(786) 405-4054
Mailing address
1040 NE 14TH AVE, HOMESTEAD, FL 33033-4524
(786) 405-4054
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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