Individual
MR. HUMBERTO ALEXIS JUNCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CST/CFA
Contact information
Practice address
686 NW 127TH CT, MIAMI, FL 33182-1897
(305) 502-9838
Mailing address
686 NW 127TH CT, MIAMI, FL 33182-1897
(305) 502-9838
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
00F425
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00F425
CST/CFA
FL
Enumeration date
07/15/2009
Last updated
07/15/2009
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