Individual
JULIO ERNESTO BOCANEGRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
7000 SW 97TH AVE, SUITE 120, MIAMI, FL 33173-1494
(305) 670-0055
(305) 670-0054
Mailing address
7000 SW 97TH AVE, SUITE 120, MIAMI, FL 33173-1494
(305) 670-0055
(305) 670-0054
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA32641
FL
Other
Enumeration date
07/15/2008
Last updated
07/15/2008
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