Individual
MR. AGUSTIN J LATORRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7000 SW 62ND AVE, SUITE 300, SOUTH MIAMI, FL 33143-4716
(305) 455-7451
(305) 445-7435
Mailing address
7000 SW 62ND AVE, SUITE 300, SOUTH MIAMI, FL 33143-4716
(305) 455-7451
(305) 455-7435
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34974
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34974
MEDICAL LICENSE
FL
Enumeration date
09/01/2006
Last updated
09/16/2011
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