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1023037066
IVAN ESPAILLAT MD PA
MIAMI, FL
NPI
1023037066
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Entity Type
Organization
Authorized Contact
IVAN ESPAILLAT
Md
305-255-1127
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: FL ME92158)
Enumeration Date
2006-07-19
Last Update Date
2007-09-17
Business Address
IVAN ESPAILLAT MD PA
12002 SW 128TH CT SUITE 204
MIAMI, FL 33186-4639
Phone number: 305-255-1127
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Mailing Address
IVAN ESPAILLAT MD PA
PO BOX 440728
MIAMI, FL 33144-0728
Phone number: 305-255-1127
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