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Individual

YEMAL CALDERON AMEZQUITA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2001 W 68TH ST, HIALEAH, FL 33016-1801
(305) 823-5000
Mailing address
3061 SW 192ND AVE, MIRAMAR, FL 33029-5826
(787) 347-1735

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME111019
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1912154865
PR
Enumeration date
08/22/2008
Last updated
05/01/2018
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