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1295353670
LUIS CANTOR
MELBOURNE, FL
NPI
1295353670
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA9113587)
Enumeration Date
2020-07-11
Last Update Date
2021-01-17
Business Address
Mr. LUIS CANTOR
1541 S WICKHAM RD
MELBOURNE, FL 32904-3540
Phone number: 321-726-6331
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Mailing Address
Mr. LUIS CANTOR
1541 S WICKHAM RD
MELBOURNE, FL 32904-3540
Phone number: 321-726-6331
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