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Organization

PARRILLA MD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWIN JL PARRILLA MD (PHYSICIAN)
(305) 696-0842
Entity
Organization

Contact information

Practice address
1025 E 25TH ST, HIALEAH, FL 33013-3703
(305) 696-0842
(305) 696-2150
Mailing address
1025 E 25TH ST, HIALEAH, FL 33013-3703
(305) 696-0842
(305) 696-2150

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME130156
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
136147669
DRIVERS LICENSE
NY
Enumeration date
11/08/2017
Last updated
11/08/2017
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