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Individual

IBSEN DAVID HIDALGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
9711 W OAKLAND PARK BLVD, SUNRISE, FL 33351-7013
(954) 572-4000
Mailing address
11933 CLASSIC DR, CORAL SPRINGS, FL 33071-7714
(954) 234-7960

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
32206
FL

Other

Enumeration date
08/14/2022
Last updated
08/14/2022
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