Individual
MR. JOSE ENRIQUE PONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
1321 NW 13TH ST, PRE-TRIAL DETENTION CENTER, CORRECTIONS HEALTH SERVICES, MIAMI, FL 33125-1603
(786) 263-4120
(305) 545-4042
Mailing address
6331 HUTCHINSON RD, MIAMI LAKES, FL 33014-2301
(305) 819-6495
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1375412
FL
Other
Enumeration date
01/03/2007
Last updated
07/09/2007
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