Individual
MRS. LILIANA CARRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
756 W PALM DR, FLORIDA CITY, FL 33034-3224
(305) 246-3530
(305) 246-4686
Mailing address
1422 E MOWRY DR APT 108, HOMESTEAD, FL 33033-4949
(786) 728-1286
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
247200000X
Other Technician
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
590839562
—
FL
Enumeration date
08/16/2017
Last updated
07/16/2024
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