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1790062982
IVAN BAEZ
HOLLYWOOD, FL
NPI
1790062982
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA 9108132)
Enumeration Date
2011-11-15
Last Update Date
2015-10-14
Business Address
MR. IVAN BAEZ PA-C
1150 N 35TH AVE
HOLLYWOOD, FL 33021-5424
Phone number: 954-265-3437
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Mailing Address
MR. IVAN BAEZ PA-C
9940 W CALUSA CLUB DR
MIAMI, FL 33186-1512
Phone number: 786-232-5450
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