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Individual

MR. CARLOS WILTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
8940 N KENDALL DR STE 101E, MIAMI, FL 33176-2166
(305) 520-5625
(305) 520-5628
Mailing address
8940 N KENDALL DR STE 101E, MIAMI, FL 33176-2166
(305) 520-5625
(305) 520-5628

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 9106832
FL
363AS0400X
Surgical Physician Assistant
PA 9106832
FL

Other

Enumeration date
09/24/2012
Last updated
09/24/2012
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