Individual
MR. REY PHILLIP GARAY LLENES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 W COMMERCIAL BLVD STE 5, FORT LAUDERDALE, FL 33309-3392
(954) 485-5666
(954) 484-1651
Mailing address
3601 W COMMERCIAL BLVD STE 5, FORT LAUDERDALE, FL 33309-3392
(954) 485-5666
(954) 484-1651
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME131051
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020744100
—
FL
01
—
ME131051
MEDICAL LICENSE
FL
Enumeration date
04/03/2013
Last updated
03/17/2018
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