Individual
ROGERIO S. FAILLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1951 SW 172 AVE, SUITE 304, MIRAMAR, FL 33029
(954) 441-1144
(954) 441-4404
Mailing address
1951 SW 172 AVENUE, SUITE 304, MIRAMAR, FL 33029
(954) 441-1144
(954) 441-4404
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME 77924
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259184700
—
FL
Enumeration date
11/13/2006
Last updated
07/08/2007
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