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Individual

DR. HOMER JAVIER KAWAS-O'RIELY SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
14221 SW 120TH ST, MIAMI, FL 33186-7236
(305) 279-1515
Mailing address
8639 SW 214TH TER, CUTLER BAY, FL 33189-7341
(786) 483-4763

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
ME131736
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ME131736
FLORIDA BOARD OF MEDICINE
FL
Enumeration date
12/20/2017
Last updated
12/20/2017
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