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1932511888
JOSE TAVAREZ
KISSIMMEE, FL
NPI
1932511888
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: FL T162421781380)
Enumeration Date
2014-05-27
Last Update Date
2014-05-27
Business Address
-- JOSE TAVAREZ
475 TARRAGON PL
KISSIMMEE, FL 34758-3671
Phone number: 407-572-5877
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Mailing Address
-- JOSE TAVAREZ
475 TARRAGON PL
KISSIMMEE, FL 34758-3671
Phone number: 407-572-5877
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