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1083154694
JOSE ELMO BACCAY ECO
SUNRISE, FL
NPI
1083154694
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner Gerontology
(Licence: FL ARNP3110802)
Enumeration Date
2017-03-01
Last Update Date
2017-03-01
Business Address
MR. JOSE ELMO BACCAY ECO NP-C
3505 NW 84TH AVE
SUNRISE, FL 33351-6607
Phone number: 954-748-3039
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Mailing Address
MR. JOSE ELMO BACCAY ECO NP-C
3505 NW 84TH AVE
SUNRISE, FL 33351-6607
Phone number: 954-748-3039
Copy
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