Individual
MR. JORGE LUIS SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA63525
Contact information
Practice address
13414 SW 22ND TER, MIAMI, FL 33175-1138
(786) 366-6695
(786) 401-7646
Mailing address
13414 SW 22ND TER, MIAMI, FL 33175-1138
(786) 366-6695
(786) 401-7646
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA63525
FL
Other
Enumeration date
02/29/2012
Last updated
09/05/2012
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