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1831357474
MANUEL DE LA PORTILLA
MIAMI, FL
NPI
1831357474
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH6485)
Enumeration Date
2008-05-30
Last Update Date
2024-11-13
Business Address
MANUEL DE LA PORTILLA MH6485
15660 SW 72ND ST
MIAMI, FL 33193-1923
Phone number: 786-697-1150
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Mailing Address
MANUEL DE LA PORTILLA MH6485
3477 VIVIAN RD
NORTH PORT, FL 34288-7886
Phone number: 305-389-2374
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