Individual
JHAN PATRICK VISBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6200 SUNSET DR STE 401, SOUTH MIAMI, FL 33143-4829
(305) 666-4633
Mailing address
14101 SW 149TH AVE, MIAMI, FL 33196-5025
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9111109
FL
Other
Enumeration date
02/09/2018
Last updated
09/11/2023
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