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1255075792
ERIC JAVIER CEBALLOS
MIAMI, FL
NPI
1255075792
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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
2022-04-21
Last Update Date
2022-04-21
Business Address
ERIC JAVIER CEBALLOS MD
500 NW 124TH AVE
MIAMI, FL 33182-1223
Phone number: 786-423-5930
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Mailing Address
ERIC JAVIER CEBALLOS MD
500 NW 124TH AVE
MIAMI, FL 33182-1223
Phone number: 786-423-5930
Copy
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