Individual
DINO FANFAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11200 SW 8TH ST, MIAMI, FL 33199-2516
(305) 348-4957
Mailing address
11200 SW 8TH ST, MIAMI, FL 33199-4055
(305) 348-4957
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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