Individual
JUAN MANUEL DE OLEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
600 NW 35TH AVE, MIAMI, FL 33125-4000
(305) 642-3724
(305) 643-2228
Mailing address
600 NW 35TH AVE, MIAMI, FL 33125-4000
(305) 642-3724
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9101496
FL
Other
Enumeration date
08/30/2007
Last updated
08/30/2007
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