Individual
DR. JUAN CARLOS INFANTE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 666-6511
Mailing address
10140 CENTURION PKWY N, JACKSONVILLE, FL 32256-0532
(904) 697-3600
(904) 697-5102
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
ME123715
FL
2085R0202X
Diagnostic Radiology Physician
ME123715
FL
208600000X
Surgery Physician
TRN13983
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015400600
—
FL
Enumeration date
05/31/2009
Last updated
09/07/2022
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