Organization
CPJA CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PABLO BALTODANO FALLAS MD (OWNER)
(305) 394-9064
Entity
Organization
Contact information
Practice address
17900 NW 5TH ST STE 104, PEMBROKE PINES, FL 33029-2809
(305) 394-9064
(786) 590-1909
Mailing address
17900 NW 5TH ST STE 104, PEMBROKE PINES, FL 33029-2809
(305) 394-9064
(786) 590-1909
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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