Individual
CARLOS ALFREDO MIJARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3402 DAVIE RD APT 215, DAVIE, FL 33314-1623
(786) 316-2308
Mailing address
3402 DAVIE RD APT 215, DAVIE, FL 33314-1623
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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