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Individual

MIGUEL A DELAGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
8900 CORAL WAY STE 206, MIAMI, FL 33165-2075
(305) 693-5817
(305) 223-1005
Mailing address
8900 CORAL WAY STE 206, MIAMI, FL 33165-2075
(305) 693-5817
(305) 223-1005

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO1494
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
041224400
FL
Enumeration date
08/06/2006
Last updated
05/01/2017
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