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Individual

JOSE ALVAREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MASSAGE THERAPIST

Contact information

Practice address
5128 SW 4TH ST, CORAL GABLES, FL 33134-1227
(305) 863-1654
Mailing address
5128 SW 4TH ST, CORAL GABLES, FL 33134-1227
(305) 863-1654

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA62028
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MA62028
STATE OF FLORIDA DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE
FL
Enumeration date
05/18/2011
Last updated
05/18/2011
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