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1548985443
MICKEY FUENTES
MIAMI BEACH, FL
NPI
1548985443
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: FL HSE36496)
Enumeration Date
2022-10-04
Last Update Date
2022-10-04
Business Address
MICKEY FUENTES House Physician-MD
4300 ALTON RD
MIAMI BEACH, FL 33140-2948
Phone number: 305-674-2310
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Mailing Address
MICKEY FUENTES House Physician-MD
10820 W 33RD WAY
HIALEAH, FL 33018-2194
Phone number: 786-338-8754
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