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1669845285
CARLOS A AGUDELO
DAVIE, FL
NPI
1669845285
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9109267)
Enumeration Date
2015-11-04
Last Update Date
2016-12-13
Business Address
-- CARLOS A AGUDELO PA
4111 STIRLING RD
DAVIE, FL 33314-7535
Phone number: 954-608-2220
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Mailing Address
-- CARLOS A AGUDELO PA
401 NW 42ND AVE
PLANTATION, FL 33317-2835
Phone number: 954-608-2220
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