Individual
GEOVANNA PADRON PORTELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5040 SW 103RD PL, MIAMI, FL 33165-6243
(305) 788-8476
(305) 279-3538
Mailing address
5040 SW 103RD PL, MIAMI, FL 33165-6243
(305) 788-8476
(305) 279-3538
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
OT11276
FL
Other
Enumeration date
11/08/2010
Last updated
11/08/2010
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