Organization
HUMBERTO A. JUNCO CST/CFA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUMBERTO A JUNCO CST (PRESIDENT/PROVIDER)
(305) 502-9838
Entity
Organization
Contact information
Practice address
686 NW 127TH CT, MIAMI, FL 33182-1897
(305) 502-9838
(954) 436-9146
Mailing address
686 NW 127 COURT, MIAMI, FL 33182-1897
(305) 502-9838
(954) 436-9146
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
00F425
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487884144
INDIVIDUAL NPI
FL
Enumeration date
10/25/2011
Last updated
10/25/2011
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