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Individual

MR. ERNESTO LUZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.T

Contact information

Practice address
6315 NW 113TH TER, HIALEAH, FL 33012-2331
(786) 715-2368
Mailing address
5701 W 25 CT APT# 111, HIALEAH, FL 33016-4478
(786) 715-2368

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA56712
FL

Other

Enumeration date
02/08/2012
Last updated
06/18/2021
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