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Individual

CLARA LUCILA ALVAREZ VILLALBA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
800 SE 4TH AVE STE 808A, HALLANDALE BEACH, FL 33009-6497
(305) 697-0176
(305) 912-0574
Mailing address
800 SE 4TH AVE STE 808A, HALLANDALE BEACH, FL 33009-6497
(305) 697-0176
(305) 912-0574

Taxonomy

Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
243313
NY
2084P0015X
Psychosomatic Medicine Physician
Primary
ME102827
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0010497-00
FL
Enumeration date
01/05/2007
Last updated
11/11/2024
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