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1669456331
JAVIER DITAS
DORAL, FL
NPI
1669456331
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL 9102520)
Enumeration Date
2005-12-05
Last Update Date
2013-03-12
Business Address
Mr. JAVIER DITAS PA
9301 NW 33RD ST
DORAL, FL 33172-1202
Phone number: 305-437-1150
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Mailing Address
Mr. JAVIER DITAS PA
3965 SW 152ND AVE
MIRAMAR, FL 33027-3351
Phone number: 954-392-1216
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