Individual
MR. JOSE ANSELMO AGUIRRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2718 LEE BLVD, STE C, LEHIGH ACRES, FL 33971-1537
(239) 303-1501
(239) 303-9297
Mailing address
2718 LEE BLVD, STE C, LEHIGH ACRES, FL 33971-1537
(239) 303-1501
(239) 303-9297
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT 22575
FL
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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