Individual
LUIS CARMONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3431 SW 107TH AVE, MIAMI, FL 33165-3632
(305) 551-7222
Mailing address
12821 SW 43RD DR APT 131, MIAMI, FL 33175-4119
(305) 763-7176
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
AI117
FL
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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