Individual
JESUS LAURENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1610 NE MIAMI GARDENS DR, NORTH MIAMI BEACH, FL 33179-4900
(305) 940-6016
(305) 940-6167
Mailing address
900 S PINE ISLAND RD, SUITE 800, PLANTATION, FL 33324-3920
(305) 940-6016
(305) 940-6167
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME73797
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258884600
—
FL
Enumeration date
10/07/2005
Last updated
10/07/2013
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