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1811667447
HUMBERTO ENCALADA
COCONUT CREEK, FL
NPI
1811667447
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9114917)
Enumeration Date
2021-09-15
Last Update Date
2021-09-15
Business Address
HUMBERTO ENCALADA
5355 LYONS RD
COCONUT CREEK, FL 33073-2825
Phone number: 954-570-9595
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Mailing Address
HUMBERTO ENCALADA
4855 W HILLSBORO BLVD STE B2
COCONUT CREEK, FL 33073-4356
Phone number: 954-418-1683
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