JORGE FONTICIELLA

DORAL, FL
NPI1053195941
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: FL  19536)
Enumeration Date2023-08-22
Last Update Date2023-08-22
Business Address
JORGE FONTICIELLA COTA
8491 NW 17TH ST
DORAL, FL 33126-1025
Phone number: 305-456-5542
Mailing Address
JORGE FONTICIELLA COTA
12342 SW 10TH LN
MIAMI, FL 33184-2445
Phone number: 786-312-6143
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