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Individual

ALBERT MAYUNGBE SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPA

Contact information

Practice address
111 NW 183RD ST STE 402, MIAMI, FL 33169-4540
(305) 342-1715
(305) 651-4900
Mailing address
111 NW 183RD ST STE 402, MIAMI, FL 33169-4540
(305) 342-1715

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
299993690
FL
164W00000X
Licensed Practical Nurse
299993690
FL
224Z00000X
Occupational Therapy Assistant
299993690
FL
225100000X
Physical Therapist
299993690
FL
2251E1200X
Ergonomics Physical Therapist
299993690
FL
225200000X
Physical Therapy Assistant
299993690
FL
225X00000X
Occupational Therapist
299993690
FL
225XE1200X
Ergonomics Occupational Therapist
299993690
FL
235Z00000X
Speech-Language Pathologist
299993690
FL
376J00000X
Homemaker
16855
FL
376K00000X
Nurse's Aide
299993690
FL

Other

Enumeration date
12/06/2013
Last updated
12/06/2013
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