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Organization
SOUTH FLORIDA PAT NETWORK INC
Active
Organization
SOUTH FLORIDA PAT NETWORK INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IHANCO CARRASQUEL (PRESIDENT)
(305) 887-0838
Entity
Organization
Contact information
Practice address
435 HIALEAH DR, SUITE 6, HIALEAH, FL 33010-5358
(305) 887-0838
Mailing address
435 HIALEAH DR, SUITE 6, HIALEAH, FL 33010-5358
(305) 887-0838
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/18/2006
Last updated
08/22/2020
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