Individual
CARLOS A AGUDELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4111 STIRLING RD, DAVIE, FL 33314-7535
(954) 608-2220
Mailing address
401 NW 42ND AVE, PLANTATION, FL 33317-2835
(954) 608-2220
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9109267
FL
Other
Enumeration date
11/04/2015
Last updated
12/13/2016
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