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Organization

CARLOS F VALLEJO MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARLOS F VALLEJO M.D. (MEDICAL DOCTOR/PRESIDENT)
(305) 696-8802
Entity
Organization

Contact information

Practice address
5803 NW 151ST ST, STE 101, MIAMI LAKES, FL 33014-2473
(305) 696-8802
(305) 696-8156
Mailing address
5803 NW 151ST ST, STE 101, MIAMI LAKES, FL 33014-2473
(305) 696-8802
(305) 696-8156

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0069920
FL

Other

Enumeration date
08/09/2010
Last updated
11/18/2013
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