Individual
ANGEL LOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22790 SW 112TH AVE, MIAMI, FL 33170-7602
(305) 235-2616
(305) 235-6178
Mailing address
22790 SW 112TH AVE, MIAMI, FL 33170-7602
(305) 235-2616
(305) 235-6178
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/07/2012
Last updated
09/01/2015
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