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1104817584
IVAN R ESPAILLAT
MIAMI, FL
NPI
1104817584
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL ME92158)
Enumeration Date
2005-11-03
Last Update Date
2011-12-08
Business Address
Mr. IVAN R ESPAILLAT MD
12002 SW 128TH CT SUITE 204
MIAMI, FL 33186-4639
Phone number: 305-234-8264
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Mailing Address
Mr. IVAN R ESPAILLAT MD
PO BOX 440728
MIAMI, FL 33144-0728
Phone number: 305-234-8264
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