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Organization
PAULE BAZILE, LLC
Active
Organization
PAULE BAZILE, LLC
Active
Other names
Clinique Bazile
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES H RICHARD DO (DO/DIRECTOR)
(305) 756-8890
Entity
Organization
Contact information
Practice address
6464 N. MIAMI AVE, MIAMI, FL 33150-4520
(305) 756-8890
(305) 758-5769
Mailing address
6464 N. MIAMI AVE, MIAMI, FL 33150-4520
(305) 756-8890
(305) 758-5769
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
12/21/2009
Last updated
03/09/2020
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