Individual
PAULO DE TARSO NAVARRETE GRAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
40 SE 6TH RD, HOMESTEAD, FL 33030-6293
(305) 647-8146
Mailing address
40 SE 6TH RD, HOMESTEAD, FL 33030-6293
(305) 647-8146
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
20-497
WI
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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