Individual
ENRIQUE Z FRAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 WEST 84 ST, SUITE 501, MIAMI, FL 33016-1029
(305) 273-5511
(305) 273-6622
Mailing address
2300 W 84TH ST, 501, HIALEAH, FL 33016-5770
(305) 273-5511
(305) 273-5511
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0046427
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117431500
—
FL
05
—
374240700
—
FL
Enumeration date
08/19/2005
Last updated
06/04/2024
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