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Individual

JULIO CESAR EGUSQUIZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7100 W 20TH AVE, SUITE 411, HIALEAH, FL 33016-1897
(305) 823-0901
(305) 558-5304
Mailing address
3220 SW 107TH AVE, MIAMI, FL 33165-3606
(305) 551-1195
(305) 551-1094

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME54356
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
259572900
FL
05
259572901
FL
Enumeration date
04/07/2006
Last updated
12/08/2011
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