Individual
JOSE SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1036 QUAIL AVE, MIAMI SPRINGS, FL 33166
(305) 321-5578
Mailing address
1036 QUAIL AVE, MIAMI SPRINGS, FL 33166-3249
(305) 321-5578
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
611854576
TAX ID
FL
Enumeration date
09/12/2017
Last updated
07/21/2022
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