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Organization

COMPREHENSIVE GYNECOLOGIC ONCOLOGY PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FRANK DOMINIC CIRISANO JR. M.D. (PRESIDENT)
(305) 405-0700
Entity
Organization

Contact information

Practice address
21355 E DIXIE HWY, SUITE 100, AVENTURA, FL 33180-1238
(305) 405-0700
(305) 405-0701
Mailing address
PO BOX 3026, HALLANDALE, FL 33008-3026
(305) 405-0700

Taxonomy

Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
ME 74132
FL

Other

Enumeration date
07/11/2006
Last updated
10/15/2007
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