Individual
BRANDON TABARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10237 SW 24TH ST APT C443, MIAMI, FL 33165-2567
(305) 926-7398
Mailing address
10237 SW 24TH ST APT C443, MIAMI, FL 33165-2567
(305) 926-7398
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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