CARLOS A AGUDELO

DAVIE, FL
NPI1669845285
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9109267)
Enumeration Date2015-11-04
Last Update Date2016-12-13
Business Address
-- CARLOS A AGUDELO PA
4111 STIRLING RD
DAVIE, FL 33314-7535
Phone number: 954-608-2220
Mailing Address
-- CARLOS A AGUDELO PA
401 NW 42ND AVE
PLANTATION, FL 33317-2835
Phone number: 954-608-2220