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Individual

MR. JUAN J CESPEDES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8000 BISCAYNE BLVD, MIAMI, FL 33138-4621
(305) 759-4778
(305) 756-3502
Mailing address
14005 SW 10TH ST, MIAMI, FL 33184-3056
(305) 979-6632

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
ACN 277
FL
208D00000X
General Practice Physician
16851
PR
208D00000X
General Practice Physician
ACN 277
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16851
MEDICAL DOCTOR
PR
01
ACN 277
MEDICAL LICENSE
FL
Enumeration date
08/28/2007
Last updated
08/11/2016
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