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Individual

DR. ISRAEL JONATHAN TCHABAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., S.A.

Contact information

Practice address
7100 W 20TH AVE, HIALEAH, FL 33016-1897
(305) 823-9120
(305) 824-8839
Mailing address
18061 BISCAYNE BLVD APT 1901, AVENTURA, FL 33160-5278
(786) 417-7973

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
08-121
FL

Other

Enumeration date
05/27/2008
Last updated
05/27/2008
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