Individual
MIGUEL AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8100 OAK LN STE 404, MIAMI LAKES, FL 33016-5876
(305) 952-3125
Mailing address
7861 W 29TH WAY APT 102, HIALEAH, FL 33018-7245
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/15/2021
Last updated
02/15/2021
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