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Individual

ANDRE PATRICK PROPHETE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7800 SW 57TH AVE, SUIT3 228, SOUTH MIAMI, FL 33143-5528
(305) 665-4999
(305) 665-0332
Mailing address
7800 SW 57 AVE, SUIT3 228, SOUTH MIAMI, FL 33143
(305) 665-4999
(305) 665-0332

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
01/10/2008
Last updated
01/10/2008
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