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1629347083
ANGIE J LASTRA
HOLLYWOOD, FL
NPI
1629347083
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: FL ME121548)
Enumeration Date
2011-12-14
Last Update Date
2018-06-27
Business Address
ANGIE J LASTRA MD
3702 WASHINGTON ST STE 303
HOLLYWOOD, FL 33021
Phone number: 954-518-2424
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Mailing Address
ANGIE J LASTRA MD
2900 CORPORATE WAY DOOR D
MIRAMAR, FL 33025-3925
Phone number: 954-276-5685
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