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Organization
HISPANIC HEALTH ENTERPRISES LLC
Active
Organization
HISPANIC HEALTH ENTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TABARE D TABAR PHYSICIAN ASSISTANT (OWNER/PRESIDENT)
(305) 439-1855
Entity
Organization
Contact information
Practice address
4990 GOLDEN GATE PKWY, SUITE 2, NAPLES, FL 34116-6962
(305) 439-1855
Mailing address
4990 GOLDEN GATE PKWY, SUITE 2, NAPLES, FL 34116-6962
(305) 439-1855
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PA9105645
FL
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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