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1700168176
JUAN CARLOS LA ROSA PEDROSO
MIAMI, FL
NPI
1700168176
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA10789)
Enumeration Date
2011-09-12
Last Update Date
2016-12-28
Business Address
-- JUAN CARLOS LA ROSA PEDROSO PAC
15523 SW 71ST ST
MIAMI, FL 33193-2104
Phone number: 971-227-4063
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Mailing Address
-- JUAN CARLOS LA ROSA PEDROSO PAC
15523 SW 71ST ST
MIAMI, FL 33193-2104
Phone number: 971-227-4063
Copy
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