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1790294767
ANIBAL ANTONIO GAITAN
FORT LAUDERDALE, FL
NPI
1790294767
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: FL 17-526)
Enumeration Date
2017-09-21
Last Update Date
2022-07-21
Business Address
ANIBAL ANTONIO GAITAN SA-C
1995 E OAKLAND PARK BLVD STE 250
FORT LAUDERDALE, FL 33306-1149
Phone number: 954-791-6146
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Mailing Address
ANIBAL ANTONIO GAITAN SA-C
6195 W 19TH AVE APT 304A
HIALEAH, FL 33012-6079
Phone number: 305-742-5462
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