MANUEL DEJESUS BACALLAO

MIAMI, FL
NPI1386603462
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  ME38837)
Enumeration Date2006-03-20
Last Update Date2010-08-03
Business Address
Mr. MANUEL DEJESUS BACALLAO MD
8525 SW 92 STREET SUITE B 4
MIAMI, FL 33156-7374
Phone number: 305-279-7446
Mailing Address
Mr. MANUEL DEJESUS BACALLAO MD
8525 SW 92 STREET SUITE B 4
MIAMI, FL 33156-7374
Phone number: 305-279-7446