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Individual

MR. NOEL FIALLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
B.S

Contact information

Practice address
5881 NW 151ST ST STE 127, MIAMI LAKES, FL 33014-2442
(786) 905-2262
(786) 389-5500
Mailing address
5881 NW 151ST ST STE 127, MIAMI LAKES, FL 33014-2442
(786) 905-2262
(786) 398-5500

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
116153500
FL
Enumeration date
02/06/2015
Last updated
02/28/2025
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