Individual
JOSE PAJON-ROURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8800 NW 15TH CT, PEMBROKE PINES, FL 33024-4727
(786) 333-9002
Mailing address
8800 NW 15TH CT, PEMBROKE PINES, FL 33024-4727
(786) 333-9002
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
MA53130
FL
225700000X
Massage Therapist
Primary
MA53130
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA53130
LICENSE NO
FL
Enumeration date
04/21/2011
Last updated
12/04/2023
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