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Organization

NATIVE AMERICAN DIAGNOSTICS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERNEST TIGER (COO)
(305) 555-1212
Entity
Organization

Contact information

Practice address
2771 SW 81ST WAY, DAVIE, FL 33328-1617
(305) 555-1212
Mailing address
2771 SW 81ST WAY, DAVIE, FL 33328-1617

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
FL

Other

Enumeration date
07/21/2011
Last updated
07/21/2011
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