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Individual

ANTONIO REGUEIRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6440 SW 117TH AVE, MIAMI, FL 33183-2822
(305) 630-9307
(305) 630-9303
Mailing address
400 PALMETTO DR, MIAMI SPRINGS, FL 33166-5826
(305) 778-2598

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
017652
GA
183500000X
Pharmacist
Primary
PS28941
FL

Other

Enumeration date
06/04/2007
Last updated
07/08/2007
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