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1568104024
LUIS ALBERTO PENARANDA BOLANO
FT LAUDERDALE, FL
NPI
1568104024
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-13
Last Update Date
2022-07-19
Business Address
LUIS ALBERTO PENARANDA BOLANO M.D.
4725 N FEDERAL HIGHWAY
FT LAUDERDALE, FL 33308
Phone number: 954-938-3359
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Mailing Address
LUIS ALBERTO PENARANDA BOLANO M.D.
4725 N FEDERAL HIGHWAY
FT LAUDERDALE, FL 33308
Phone number: 954-938-3359
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