Luis R Maderal M.A.,M.DIV.

NPI 1104045509 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1104045509
Gender Male
Enumeration Date 04/24/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
8766 SW 8TH ST
MIAMI FL, 33174-3201, US
Phone (305) 221-5366
Fax (305) 667-9496
Business Location
6750 SW 104TH ST
MIAMI FL, 33156-3252, US
Phone (305) 221-5366
Fax (305) 667-9496
Taxonomy Code 106H00000X
License State Florida
License Number MT0001134
Remove 1104045509 NPI Number

According to our database, Mr. Luis R Maderal M.A.,M.DIV. NPI is 1104045509, taxonomy code is 106H00000X and license number is MT0001134, license state is located at Florida. Luis R Maderal M.A.,M.DIV. physically located at 8766 Sw 8th St, Miami FL, 33174-3201. NPI Number Luis R Maderal M.A.,M.DIV. has the Individual type.

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1104045509 NPI number is provided on an as is basis without warranty of any kind. 1104045509 is maintained by the National Plan & Provider Enumeration System. The contents of Luis R Maderal M.A.,M.DIV. are for informational purposes only.