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Individual

RAUL FUNDORA FALCON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
654 NE 9TH PL, HOMESTEAD, FL 33030-4934
(305) 248-3488
(305) 248-3499
Mailing address
16620 SW 293RD TER, HOMESTEAD, FL 33033-2116
(786) 379-2478

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
05/23/2024
Last updated
05/23/2024
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