# HECTOR I PALLAVICINI MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073177523
- **Authorized official:** DR. HECTOR PALLAVICINI MD (OWNER)
- **Authorized official phone:** (305) 558-0411

## Contact information

- **Practice address:** 3499 W 4TH AVE STE 201, HIALEAH, FL 33012-4333
- **Practice address phone:** (305) 558-0411
- **Practice address fax:** (305) 863-3802
- **Mailing address:** 3499 W 4TH AVE STE 201, HIALEAH, FL 33012-4333
- **Mailing address phone:** (305) 558-0411
- **Mailing address fax:** (305) 863-3802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086H0002X | Hospice and Palliative Medicine (Surgery) Physician | — | NULL | Yes |
| 2086H0002X | Hospice and Palliative Medicine (Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/30/2019
- **Last updated:** 04/30/2019
