# IHOSVANI MIGUEL MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962749564
- **Authorized official:** IHOSVANI MIGUEL MD (PRESIDENT)
- **Authorized official phone:** (786) 290-1764

## Contact information

- **Practice address:** 500 SE 17TH ST STE 301, FORT LAUDERDALE, FL 33316-2547
- **Practice address phone:** (855) 844-1545
- **Practice address fax:** (855) 844-1545
- **Mailing address:** 500 SE 17TH ST STE 301, FT LAUDERDALE, FL 33316-2547
- **Mailing address phone:** (855) 844-1545
- **Mailing address fax:** (855) 844-1545

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/16/2013
- **Last updated:** 06/02/2025