Individual
DR. ALVARO EFRAIN VISBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3501 JOHNSON ST, THIRD FLOOR, HOLLYWOOD, FL 33021-5421
(954) 265-9976
(954) 965-5396
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 985-7074
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME101129
FL
207RP1001X
Pulmonary Disease Physician
ME101129
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001826300
—
FL
01
—
CR601W
MEDICARE PTAN
FL
Enumeration date
05/18/2007
Last updated
03/16/2021
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