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Individual

JOSE RENE CHAMORRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
14287 SW 177TH TER, MIAMI, FL 33177-2624
(305) 251-5901
Mailing address
14287 SW 177TH TER, MIAMI, FL 33177-2624

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
3201052
FL

Other

Enumeration date
09/07/2013
Last updated
09/07/2013
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