Organization
DERMATOPATHOLOGY LABORATORY PASCUAL ABENOZA MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PASCUAL ABENOZA MD (MANAGER)
(954) 263-6428
Entity
Organization
Contact information
Practice address
3940 CORAL RIDGE DR, CORAL SPRINGS, FL 33065-7613
(954) 263-6428
Mailing address
3940 CORAL RIDGE DR, CORAL SPRINGS, FL 33065-7613
(954) 263-6428
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
L11000074571
FL
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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