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Individual

OMAR ENRIQUE ALVAREZ AGUILERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6863 SW 132ND AVE, MIAMI, FL 33183-2315
(305) 798-8548
Mailing address
6863 SW 132ND AVE, MIAMI, FL 33183-2315
(305) 798-8548

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA12689
FL

Other

Enumeration date
08/06/2021
Last updated
08/06/2021
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