Individual
EMMANUEL ISAAC BAHAMONDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16401 NW 2ND AVE STE 203, MIAMI, FL 33169-6036
(305) 999-0009
(305) 945-7136
Mailing address
1000 PARK CENTRE BLVD STE 134, MIAMI, FL 33169-5373
(305) 651-3261
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME139931
FL
390200000X
Student in an Organized Health Care Education/Training Program
19455
PR
Other
Enumeration date
03/24/2014
Last updated
09/14/2023
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