Individual
EL QUBY ALI CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
671 NW 119TH ST, MIAMI, FL 33168-2522
(305) 688-1803
Mailing address
671 NW 119TH ST, MIAMI, FL 33168-2522
(305) 688-1803
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA29082
FL
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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