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Organization
FRANCISCO G TUDELA M.D PA
Active
Organization
FRANCISCO G TUDELA M.D PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCISCO G TUDELA JR. M.D (OWNER)
(305) 691-1171
Entity
Organization
Contact information
Practice address
777 E 25TH ST STE 106, HIALEAH, FL 33013-3804
(305) 691-1171
(305) 693-6726
Mailing address
777 E 25TH ST STE 106, HIALEAH, FL 33013-3804
(305) 691-1171
(305) 693-6726
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME36365
FL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058554800
—
FL
01
—
1190HILH
NHP
FL
01
—
209384
AVMED
FL
01
—
95746
BCBS ID #
FL
Enumeration date
11/04/2010
Last updated
11/11/2021
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