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Individual

IRLANDE KATHIA CREVECOEUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
1240 NW 119TH ST, MIAMI, FL 33167-3232
(305) 685-5688
(305) 687-1817
Mailing address
8203 WINDSOR DR, MIRAMAR, FL 33025-2838
(954) 441-9562

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9101753
FL

Other

Enumeration date
10/25/2006
Last updated
07/08/2007
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