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1760926430
KEVIN JAMES FAVERO-ORTIZ
MIAMI, FL
NPI
1760926430
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Former Name
KEVIN JAMES FAVERO
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
291U00000X Clinical Medical Laboratory
(Licence: FL SU53146)
Enumeration Date
2016-12-14
Last Update Date
2021-11-10
Business Address
Mr. KEVIN JAMES FAVERO-ORTIZ MT(ASCP)
3663 S MIAMI AVE
MIAMI, FL 33133-4237
Phone number: 305-285-2981
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Mailing Address
Mr. KEVIN JAMES FAVERO-ORTIZ MT(ASCP)
3663 S MIAMI AVE
MIAMI, FL 33133-4237
Phone number: 305-285-2981
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