Individual
JAIME C CEPERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2995 SW 2ND ST, MIAMI, FL 33135-1328
(786) 261-1438
Mailing address
2995 SW 2ND ST, MIAMI, FL 33135-1328
(786) 262-1438
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
MA 62799
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA 62799
MASSAGE THERAPIST
FL
Enumeration date
06/08/2011
Last updated
06/08/2011
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