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Individual

EDUARDO ELIZALDE SANTOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1475 W 49TH PI, HIALEAH, FL 33012
(305) 558-2500
Mailing address
19501 E OAKMONT DR, HIALEAH, FL 33015-2009
(305) 975-0024

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
09/24/2012
Last updated
04/16/2025
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