Individual
JOSE TAVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
475 TARRAGON PL, KISSIMMEE, FL 34758-3671
(407) 572-5877
Mailing address
475 TARRAGON PL, KISSIMMEE, FL 34758-3671
(407) 572-5877
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
T162421781380
FL
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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