Individual
CRISTOBAL PANCORBO MADRIGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
11750 SW 40TH ST, MIAMI, FL 33175-3530
(305) 223-3000
Mailing address
3 MARYLAND FARMS STE 200, BRENTWOOD, TN 37027-5780
(800) 348-4565
(888) 203-4247
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
23-177
FL
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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