Individual
ENRIQUE PRIMELLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SW
Contact information
Practice address
190 NW 14TH ST, HOMESTEAD, FL 33030-4240
(305) 248-9303
Mailing address
1731 SW 83 AVE, MIAMI, FL 33155
(305) 322-2940
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
SW8392
FL
Other
Enumeration date
04/07/2017
Last updated
04/07/2017
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