Individual
MR. ALFREDO MIRABAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4748 N CONGRESS AVE, BOYNTON BEACH, FL 33426-7951
(561) 642-6118
Mailing address
4706 LUCERNE LAKES BLVD E, LAKE WORTH, FL 33467-8875
(561) 201-4345
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA0019176
FL
Other
Enumeration date
05/10/2009
Last updated
05/10/2009
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