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Organization

THIAGO QUEIROZ DO PA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THIAGO QUEIROZ DO (PRESIDENT)
(205) 835-4655
Entity
Organization

Contact information

Practice address
3487 NW 30TH ST, LAUDERDALE LAKES, FL 33311-1103
(205) 835-4655
Mailing address
10741 SW 53RD ST, COOPER CITY, FL 33328-5639
(205) 835-4655

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Enumeration date
08/30/2022
Last updated
08/30/2022
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