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Organization

IJACONSULTANTS PLLC

Active
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Organization

IJACONSULTANTS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IRA JOEL AGATSTEIN M.D. (CEO)
(954) 648-4148
Entity
Organization

Contact information

Practice address
6140 SW 70TH ST, SECOND FLOOR, SOUTH MIAMI, FL 33143-3419
(954) 476-7933
Mailing address
6140 SW 70TH ST, SECOND FLOOR, SOUTH MIAMI, FL 33143-3419
(954) 476-7933

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME44376
FL

Other

Enumeration date
11/15/2012
Last updated
11/30/2012
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