Individual
KARL W BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
18201 SW 12TH ST, MIAMI, FL 33194-2700
(305) 207-5086
Mailing address
18201 SW 12TH ST, MIAMI, FL 33194-2700
(305) 207-5086
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 9107559
FL
Other
Enumeration date
02/24/2014
Last updated
02/24/2014
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