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1164242772
ANTONIO JOSE MELENDEZ
DAVIE, FL
NPI
1164242772
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-10-16
Last Update Date
2024-10-16
Business Address
ANTONIO JOSE MELENDEZ
3200 S UNIVERSITY DR
DAVIE, FL 33328-2018
Phone number: 954-262-4550
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Mailing Address
ANTONIO JOSE MELENDEZ
2840 SW 75TH WAY APT 2405
DAVIE, FL 33314-1032
Phone number: 787-240-7888
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