Individual
MR. GUILLERMO LLORENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12975 SW 132ND CT, MIAMI, FL 33186-5820
(305) 256-1653
(305) 256-1663
Mailing address
12975 SW 132ND CT, MIAMI, FL 33186-5820
(305) 256-1653
(305) 256-1663
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
20-5481238
FL
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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