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Individual

DR. RALPH ROLAND HALLAC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9999 NE 2ND AVE, SUITE 119, MIAMI SHORES, FL 33138-2352
(305) 756-4400
(305) 756-4484
Mailing address
621 GONDOLIERE AVE, CORAL GABLES, FL 33143-6308
(786) 431-5401
(786) 431-5401

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
MA34540
NJ
207RN0300X
Nephrology Physician
Primary
ME 97171
FL

Other

Enumeration date
07/26/2006
Last updated
07/27/2011
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