Individual
MR. ORESTE CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2505 W 67TH PLACE, HIALEAH, FL 33016
(786) 218-9089
Mailing address
2505 W 67TH PL, HIALEAH, FL 33016-2857
(786) 218-9089
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA60462
FL
Other
Enumeration date
10/21/2011
Last updated
10/21/2011
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