Individual
JONATHAN ROBERTO ALVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, IMT
Contact information
Practice address
3008 ANTIQUE OAKS CIR APT 108, WINTER PARK, FL 32792-5636
(407) 761-5583
Mailing address
3008 ANTIQUE OAKS CIR APT 108, WINTER PARK, FL 32792-5636
(407) 761-5583
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
IMT 1794
FL
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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