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Individual

DR. ANDREW KHANH TA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-6913
(305) 585-0000
Mailing address
3101 ROYAL PALM AVE, MIAMI BEACH, FL 33140-3937
(305) 538-4191
(305) 534-8026

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
ME72682
FL

Other

Enumeration date
07/19/2006
Last updated
07/23/2014
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