Individual
DR. JUAN MANUEL LOMBILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11880 SW 40TH ST, SUITE 204, MIAMI, FL 33175-3584
(305) 553-0554
(305) 553-1215
Mailing address
11880 SW 40TH ST, SUITE 204, MIAMI, FL 33175-3584
(305) 553-0554
(305) 553-1215
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35868
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255489500
—
FL
Enumeration date
10/02/2006
Last updated
07/08/2007
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