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1063710549
CAROL M ANTEQUERA
MIAMI, FL
NPI
1063710549
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA 9105769)
Enumeration Date
2011-03-07
Last Update Date
2012-03-16
Business Address
-- CAROL M ANTEQUERA P.A.-C
1475 NW 12TH AVE
MIAMI, FL 33136-1002
Phone number: 305-243-8644
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Mailing Address
-- CAROL M ANTEQUERA P.A.-C
1611 NW 12TH AVE PO BOX 016960 (M851)
MIAMI, FL 33136-1005
Phone number: 305-243-7688
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