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1972205862
SERGIO JOSE TEJADA VARGAS
MIAMI, FL
NPI
1972205862
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-21
Last Update Date
2024-12-03
Business Address
Dr. SERGIO JOSE TEJADA VARGAS MD
1611 NW 12TH AVE FL 33136
MIAMI, FL 33136-1005
Phone number: 754-610-6595
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Mailing Address
Dr. SERGIO JOSE TEJADA VARGAS MD
1611 NW 12TH AVE FL 33136
MIAMI, FL 33136-1005
Phone number: 305-243-4323
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