Individual
FITZ PHILOGENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.P.
Contact information
Practice address
3900 NW 79TH AVE, SUITE 598, DORAL, FL 33166-6556
(786) 715-6380
Mailing address
12620 NW 12TH AVE, NORTH MIAMI, FL 33168-6504
(786) 715-6380
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
3514
FL
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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