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Individual

ALBERTO RENGIFO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2625 EXECUTIVE PARK DR STE 3, WESTON, FL 33331-3634
(954) 217-1442
(954) 884-8606
Mailing address
292 CONSERVATION DR, WESTON, FL 33327-2472
(954) 217-1442
(954) 884-8606

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
ME95009
FL
207Q00000X
Family Medicine Physician
Primary
ME95009
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
276703100
FL
Enumeration date
08/07/2006
Last updated
06/05/2023
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