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1962962639
CARLOS THEODORE HUERTA
MIAMI, FL
NPI
1962962639
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-03-20
Last Update Date
2019-03-20
Business Address
CARLOS THEODORE HUERTA MD
1611 NW 12TH AVE
MIAMI, FL 33136-1005
Phone number: 305-243-7622
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Mailing Address
CARLOS THEODORE HUERTA MD
620 COOPER DR
LEXINGTON, KY 40502-2248
Phone number: 615-613-4846
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