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1841075843
ANDRE ALFREDO AMPUDIA
OAKLAND PARK, FL
NPI
1841075843
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9117771)
Enumeration Date
2023-08-28
Last Update Date
2024-10-19
Business Address
ANDRE ALFREDO AMPUDIA PA
5333 N DIXIE HWY STE 110
OAKLAND PARK, FL 33334-3453
Phone number: 352-796-7171
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Mailing Address
ANDRE ALFREDO AMPUDIA PA
5333 N DIXIE HWY STE 110
OAKLAND PARK, FL 33334-3453
Phone number: 954-772-8554
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