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Organization

ESTILITA PASCUAL MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ESTILITA PASCUAL MD (PRESIDENT)
(305) 828-0048
Entity
Organization

Contact information

Practice address
1255 W 46TH ST, SUITE 8, HIALEAH, FL 33012-3283
(305) 828-0048
(305) 828-2639
Mailing address
1255 W 46TH ST, SUITE 8, HIALEAH, FL 33012-3283
(305) 828-0048
(305) 828-2639

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME63839
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
372599500
FL
Enumeration date
01/15/2007
Last updated
07/07/2008
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