Individual
MAGDELIN ELIZABETH CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12871 SW 135TH TER, MIAMI, FL 33186-6666
(305) 298-1432
(305) 233-9156
Mailing address
12871 SW 135TH TER, MIAMI, FL 33186-6666
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
811904000
—
FL
Enumeration date
11/24/2009
Last updated
11/24/2009
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