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Individual

DR. FABRICCIO MELANIO LETELLIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8750 SW 144TH ST, SUITE 208, PALMETTO BAY, FL 33176-7296
(305) 259-6166
(305) 259-6630
Mailing address
8600 SW 92ND ST, STE 204A, MIAMI, FL 33156-7397
(305) 436-9933
(305) 436-9944

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME79333
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
263573900
FL
Enumeration date
09/27/2005
Last updated
01/31/2022
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