Individual
MR. JUAN FRANCISCO AVON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCPA
Contact information
Practice address
10000 SW 56TH ST, SUITE 6, MIAMI, FL 33165-7165
(786) 417-9932
(305) 279-4772
Mailing address
10000 SW 56 ST, SUITE 6, MIAMI, FL 33165
(786) 417-9932
(305) 279-4772
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
CI473
FL
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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