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Organization
LA-SALLE COMPREHENSIVE,INC
Active
Organization
LA-SALLE COMPREHENSIVE,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CHEESMAN D.O (DOCTOR/OWNER)
(786) 362-0444
Entity
Organization
Contact information
Practice address
434 SW 12TH AVE STE 103, MIAMI, FL 33130-2431
(786) 362-0444
(786) 362-0442
Mailing address
434 SW 12TH AVE STE 103, MIAMI, FL 33130-2431
(786) 362-0444
(786) 362-0442
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
054187
FL
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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