Individual
LEONARDO ANTONIO CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
6501 NW 36TH ST STE 390, VIRGINIA GARDENS, FL 33166-6963
(305) 871-0920
Mailing address
4444 SW 136TH PL, MIAMI, FL 33175-3721
(786) 286-2624
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 48406
FL
Other
Enumeration date
06/06/2008
Last updated
06/06/2008
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