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Individual

MR. JOSE SOUTO CABRAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2620 13TH AVE N, ST PETERSBURG, FL 33713-5807
(727) 239-2246
Mailing address
2620 13TH AVE N, ST PETERSBURG, FL 33713-5807
(727) 239-2246

Taxonomy

Speciality
Code
Description
License number
State
126900000X
Dental Laboratory Technician
Primary

Other

Enumeration date
12/10/2025
Last updated
12/10/2025
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