Individual
EDGAR FAJARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
426 SW 8TH ST, SUITE 2, MIAMI, FL 33130-2800
(305) 858-8845
(305) 858-8840
Mailing address
426 SW 8TH ST, SUITE 2, MIAMI, FL 33130-2800
(305) 858-8845
(305) 858-8840
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA43850
FL
Other
Enumeration date
01/14/2013
Last updated
01/14/2013
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