Individual
REINALDO BANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD-SURG-ASSIST
Contact information
Practice address
14401 SW 108TH TER, MIAMI, FL 33186-6642
(407) 718-6028
Mailing address
14401 SW 108TH TER, MIAMI, FL 33186-6642
(407) 718-6028
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
ABSA 11-252
FL
Other
Enumeration date
07/01/2012
Last updated
07/01/2012
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