Individual
CAMPER ANTONIO LAINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12570 NW 11TH TER, MIAMI, FL 33182-2450
(305) 300-7833
Mailing address
12570 NW 11TH TER, MIAMI, FL 33182-2450
(305) 300-7833
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
12420
FL
Other
Enumeration date
11/09/2018
Last updated
11/09/2018
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