Individual
ELIAS CAISES MAURINO SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14105 SW 66TH ST APT C4, MIAMI, FL 33183-2285
(305) 316-3156
Mailing address
14105 SW 66TH ST APT C4, MIAMI, FL 33183-2285
(305) 316-3156
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 61680
FL
Other
Enumeration date
03/24/2016
Last updated
03/24/2016
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