Individual
MS. GEORGINA YAMILA PORTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6475 SW 24 ST, MIAMI, FL 33155
(786) 503-5012
Mailing address
6475 SW 24TH ST, MIAMI, FL 33155-1948
(786) 503-5012
Taxonomy
Speciality
Code
Description
License number
State
2279H0200X
Home Health Registered Respiratory Therapist
Primary
RT12928
FL
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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