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Organization

HECTOR L DI CARLO MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HECTOR LUIS DI CARLO MD (PRESIDENT)
(954) 533-1173
Entity
Organization

Contact information

Practice address
1321 S ANDREWS AVE, FORT LAUDERDALE, FL 33316-1837
(954) 533-1173
(954) 533-0723
Mailing address
1321 S ANDREWS AVE, FORT LAUDERDALE, FL 33316-1837
(954) 533-1173
(964) 533-0723

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
ME102570
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0011234400
FL
Enumeration date
06/16/2015
Last updated
07/08/2024
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