Individual
MR. JOSE LUIS HIDALGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
330 SW 27TH AVE STE 605, MIAMI, FL 33135-2968
(786) 362-5105
Mailing address
330 SW 27TH AVE STE 605, MIAMI, FL 33135-2968
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA59396
FL
Other
Enumeration date
07/08/2010
Last updated
07/08/2010
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