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1588957328
JOSE GUSTAVO URRUTIA MADRID
ATLANTIS, FL
NPI
1588957328
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL TRN16079)
Enumeration Date
2011-05-26
Last Update Date
2013-11-17
Business Address
-- JOSE GUSTAVO URRUTIA MADRID MD
5301 S. CONGRESS AVENUE
ATLANTIS, FL 33462
Phone number: 561-548-1467
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Mailing Address
-- JOSE GUSTAVO URRUTIA MADRID MD
7156 COLONY CLUB DR APT. 204
LAKE WORTH, FL 33463-7836
Phone number: 561-386-6395
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