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Individual

IGOR INDRIAGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8905 SW 87TH AVE, MIAMI, FL 33176-2227
(305) 661-3000
(305) 661-3054
Mailing address
8905 SW 87TH AVE, MIAMI, FL 33176-2227
(305) 661-3000
(305) 661-3054

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
05/20/2008
Last updated
05/20/2008
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