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Organization
JOSE L AVILA MD PA
Active
Organization
JOSE L AVILA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE LUIS AVILA MD (OWNER/PRES)
(305) 956-7755
Entity
Organization
Contact information
Practice address
1380 NE MIAMI GARDENS DR, SUITE 132, N MIAMI BEACH, FL 33179-4707
(305) 956-7755
(305) 956-5688
Mailing address
413 TAMARIND DR, HALLANDALE BEACH, FL 33009-6541
(305) 956-7755
(305) 956-5688
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME77537
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257282600
—
FL
Enumeration date
05/17/2006
Last updated
06/24/2008
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