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Individual

EDDY EXPOSITO LORENZO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8180 NW 36TH ST STE 209, DORAL, FL 33166-6653
(786) 334-6946
(786) 313-3079
Mailing address
8180 NW 36TH ST STE 209, DORAL, FL 33166-6653
(786) 334-6946
(786) 313-3079

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CBHCMP101444
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CBHCMP101444
FL CERTIFICATION BOARD
FL
Enumeration date
10/01/2021
Last updated
10/01/2021
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