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1518955608
JOSE SIMON BASAGOITIA
MIAMI, FL
NPI
1518955608
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL ME0038838)
Enumeration Date
2005-10-12
Last Update Date
2014-12-17
Business Address
MR. JOSE SIMON BASAGOITIA MD
3661 S MIAMI AVE SUITE 705
MIAMI, FL 33133-4236
Phone number: 305-854-0445
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Mailing Address
MR. JOSE SIMON BASAGOITIA MD
3661 S MIAMI AVE SUITE 705
MIAMI, FL 33133-4236
Phone number: 305-854-0445
Copy
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