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1114661204
JOSE IGNACIO MANTILLA
FORT LAUDERDALE, FL
NPI
1114661204
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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
2022-04-25
Last Update Date
2022-04-25
Business Address
Dr. JOSE IGNACIO MANTILLA MD
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316-2510
Phone number: 954-355-4400
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Mailing Address
Dr. JOSE IGNACIO MANTILLA MD
9815 NW 4TH TER
MIAMI, FL 33172-4009
Phone number: 786-619-4558
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