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Individual

DR. EDGAR FACUSEH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
28 W FLAGLER ST STE 601, MIAMI, FL 33130-1894
(305) 667-4567
(786) 224-0969
Mailing address
28 W FLAGLER ST STE 601, MIAMI, FL 33130-1894
(305) 667-4567
(786) 224-0969

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9646
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22276
BCBS
FL
Enumeration date
12/09/2008
Last updated
11/07/2024
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