Individual
JOSE MEDRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16201 SW 95TH AVE STE 303, MIAMI, FL 33157-3401
(305) 964-5824
(305) 964-5824
Mailing address
16201 SW 95TH AVE STE 303, MIAMI, FL 33157-3401
(305) 964-5824
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043635972
—
FL
Enumeration date
01/15/2018
Last updated
01/15/2018
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