Organization
MEDICO MASSAGE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER J JARAMILLO MT (MASSAGE THERAPIST)
(305) 650-1942
Entity
Organization
Contact information
Practice address
571 NW 153RD ST, MIAMI, FL 33169-6623
(786) 738-4634
Mailing address
17064 W DIXIE HWY, NORTH MIAMI BEACH, FL 33160-3723
(305) 650-1942
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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