Individual
JORGE ENRIQUE CASALIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15924 SW 92ND AVE, PALMETTO BAY, FL 33157-1842
(305) 964-5824
Mailing address
PO BOX 941161, MIAMI, FL 33194-1161
(305) 763-1968
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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