Individual
ALEJANDEL SURIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17034 SW 95TH TER, MIAMI, FL 33196-4758
(407) 879-6499
Mailing address
17034 SW 95TH TER, MIAMI, FL 33196-4758
(407) 879-6499
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106710900
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106710900
—
FL
Enumeration date
09/29/2021
Last updated
09/29/2021
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