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1063071678
MAURICIO TELLEZ
FORT LAUDERDALE, FL
NPI
1063071678
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-06-07
Last Update Date
2022-06-29
Business Address
MAURICIO TELLEZ MD
4725 N FEDERAL HWY
FORT LAUDERDALE, FL 33308-4668
Phone number: 954-938-3359
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Mailing Address
MAURICIO TELLEZ MD
1611 NW 12TH AVE # 600-D
MIAMI, FL 33136-1005
Phone number: 561-801-9132
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