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1528297264
ELIAM MANUEL FUENTES TIRADO
ALTAMONTE SPRINGS, FL
NPI
1528297264
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: FL ME114560)
Enumeration Date
2009-07-02
Last Update Date
2015-05-26
Business Address
Dr. ELIAM MANUEL FUENTES TIRADO M.D.
831 S STATE ROAD 434
ALTAMONTE SPRINGS, FL 32714-3502
Phone number: 407-256-3456
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Mailing Address
Dr. ELIAM MANUEL FUENTES TIRADO M.D.
13136 WOODFORD ST
ORLANDO, FL 32832
Phone number: 787-955-0232
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