IndividualActive
Jonathan Casero, ATC
NPI 1801331632 · Prevention Professional · Miramar, FL
Provider details
- NPI number
- 1801331632
- Entity type
- Individual
- Primary specialty
- Prevention ProfessionalOther Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
- License
- AL3140 (FL)
Specialties & taxonomies
Other Service Providers
Practice location
2642 De Soto Dr
Miramar, FL 33023-4751
Phone: (954) 268-7723
Approximate (ZIP-level) locationGet directions
Mailing address
2642 De Soto Dr
Miramar, FL 33023-4751
Registry dates
- Enumerated
- 2017-01-03
- Last updated
- 2017-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.