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Organization
RAUL DAZA, M.D., P.A.
Active
Organization
RAUL DAZA, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAUL DAZA M.D. (OWNER)
(954) 290-6727
Entity
Organization
Contact information
Practice address
15951 SW 6TH ST, PEMBROKE PINES, FL 33027-1161
(954) 290-6727
Mailing address
15951 SW 6TH ST, PEMBROKE PINES, FL 33027-1161
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME 96199
FL
Other
Enumeration date
03/25/2008
Last updated
03/25/2008
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