Individual
HUMBERTO ENCALADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5355 LYONS RD, COCONUT CREEK, FL 33073-2825
(954) 570-9595
Mailing address
4855 W HILLSBORO BLVD STE B2, COCONUT CREEK, FL 33073-4356
(954) 418-1683
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9114917
FL
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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