Individual
JOSE CARLOS ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11513 SW 248TH TER, HOMESTEAD, FL 33032-3431
(305) 951-2687
Mailing address
11513 SW 248TH TER, HOMESTEAD, FL 33032-3431
(305) 951-2687
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT22814
FL
Other
Enumeration date
11/07/2018
Last updated
01/01/2023
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