ANIBAL ANTONIO GAITAN

FORT LAUDERDALE, FL
NPI1790294767
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246ZC0007X Specialist/Technologist, Other Surgical Assistant
(Licence: FL  17-526)
Enumeration Date2017-09-21
Last Update Date2022-07-21
Business Address
ANIBAL ANTONIO GAITAN SA-C
1995 E OAKLAND PARK BLVD STE 250
FORT LAUDERDALE, FL 33306-1149
Phone number: 954-791-6146
Mailing Address
ANIBAL ANTONIO GAITAN SA-C
6195 W 19TH AVE APT 304A
HIALEAH, FL 33012-6079
Phone number: 305-742-5462