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Individual

ANSELMO BELAUNSARAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1281 NW 6TH ST, MIAMI, FL 33125-4719
(305) 547-2220
(305) 547-2221
Mailing address
922 SW 68 CT, MIAMI, FL 33144
(786) 286-7144

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5189142
FL

Other

Enumeration date
03/28/2012
Last updated
03/28/2012
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