Individual
ADONYS BLAZQUEZ SURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11248 NW 2ND TER, MIAMI, FL 33172-3521
(786) 992-3750
Mailing address
11248 NW 2ND TER, MIAMI, FL 33172-3521
(786) 992-3750
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-324164
FL
Other
Enumeration date
02/16/2024
Last updated
02/16/2024
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