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1356652135
CHILDRENS CENTER FOR GASTROENTEROLOGY & NUTRITION, PA
HOLLYWOOD, FL
NPI
1356652135
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Entity Type
Organization
Authorized Contact
MARIO ENRIQUE TANO
President
954-967-9400
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2010-06-28
Last Update Date
2011-01-03
Business Address
CHILDRENS CENTER FOR GASTROENTEROLOGY & NUTRITION, PA
1150 N 35TH AVE SUITE 545
HOLLYWOOD, FL 33021-5424
Phone number: 954-967-9400
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Mailing Address
CHILDRENS CENTER FOR GASTROENTEROLOGY & NUTRITION, PA
1150 N 35TH AVE SUITE 545
HOLLYWOOD, FL 33021-5424
Phone number: 954-967-9400
Copy
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