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Organization
JOSE S BASAGOITIA,M.D
Active
Organization
JOSE S BASAGOITIA,M.D
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE SIMON BASAGOITIA MD (OWNER)
(305) 854-0445
Entity
Organization
Contact information
Practice address
3661 S MIAMI AVE, SUITE# 705, MIAMI, FL 33133-4236
(305) 854-0445
(305) 854-5099
Mailing address
3661 S MIAMI AVE, SUITE# 705, MIAMI, FL 33133-4236
(305) 854-0445
(305) 854-5099
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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