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Organization

IVAN ESPAILLAT MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IVAN ESPAILLAT MD PA (MD)
(305) 255-1127
Entity
Organization

Contact information

Practice address
12002 SW 128TH CT, SUITE 204, MIAMI, FL 33186-4639
(305) 255-1127
(305) 255-1669
Mailing address
PO BOX 440728, MIAMI, FL 33144-0728
(305) 255-1127
(305) 255-1669

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME92158
FL

Other

Enumeration date
07/19/2006
Last updated
09/17/2007
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