Individual
DR. EUGENIO E FIALLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12260 SW 8TH ST, MIAMI, FL 33184-1551
(305) 559-2173
Mailing address
12451 SW 21ST LN, MIAMI, FL 33175-7708
(305) 559-2173
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
ME 36054
FL
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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