CARLOS EDUARDO HENAO

PORT SAINT LUCIE, FL
NPI1013735356
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
(Licence: FL  bacb1091283)
Enumeration Date2024-09-26
Last Update Date2024-09-26
Business Address
CARLOS EDUARDO HENAO MD
1501 SW CASHMERE BLVD
PORT SAINT LUCIE, FL 34986-2026
Phone number: 772-254-2215
Mailing Address
CARLOS EDUARDO HENAO MD
1983 SE FAIRFIELD ST
PORT SAINT LUCIE, FL 34983
Phone number: 772-254-2215