Individual
IVAN PITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3750 W 16TH AVE, SUITE 130 AU, HIALEAH, FL 33012-4654
(786) 367-7786
Mailing address
3750 W 16TH AVE, SUITE 130 AU, HIALEAH, FL 33012-4654
(786) 367-7786
Taxonomy
Speciality
Code
Description
License number
State
332BD1200X
Dialysis Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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