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1104074152
LAUDELMAR FABRICIO VINA
MELBOURNE, FL
NPI
1104074152
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA 9104706)
Enumeration Date
2008-09-03
Last Update Date
2016-09-19
Business Address
Mr. LAUDELMAR FABRICIO VINA P.A.
1600 SARNO RD SUITE 15
MELBOURNE, FL 32935-4938
Phone number: 800-348-4565
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Mailing Address
Mr. LAUDELMAR FABRICIO VINA P.A.
3100 W END AVE SUITE 800
NASHVILLE, TN 37203-1320
Phone number: 615-345-5400
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