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Physicians Surgery Pediatric Surgery

Provider NPI: 1669498952

Provider Information:
Gender: M
Sole Proprietor

Practice Location:
3200 SW 60TH CT SUITE # 201 MIAMI, FL 33155-4000 US
Tel: 305-662-8320  Fax: 305-665-2467

Business Mailing Address:
3200 SW 60TH CT SUITE # 201 MIAMI, FL 33155-4000 US
Tel: 305-662-8320  Fax: 305-665-2467

NPI Information:
NPI: 1669498952
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Pediatric Surgery

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 2086S0120X





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