Individual
EUSEBIO REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6012 NW 172ND TERRACE CIR, HIALEAH, FL 33015-4623
(786) 563-5810
Mailing address
6012 NW 172ND TERRACE CIR, HIALEAH, FL 33015-4623
(786) 563-5810
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
101025
FL
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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