Individual
JUAN GABRIEL PONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1551 NW 36TH ST APT 803, MIAMI, FL 33142-5568
(786) 340-4232
(305) 640-5637
Mailing address
1551 NW 36TH ST APT 803, MIAMI, FL 33142-5568
(786) 340-4232
(305) 640-5637
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA62612
FL
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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