Individual
ROBERTO A LLANTADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3831 PALM AVE, HIALEAH, FL 33012-4445
(305) 557-0092
(305) 557-0450
Mailing address
3831 PALM AVE, HIALEAH, FL 33012-4445
(305) 557-0092
(305) 557-0450
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME28478
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056616100
—
FL
Enumeration date
09/09/2005
Last updated
05/11/2015
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