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Organization

IBIZA NEVARES, M.D. , P. A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. IBIZA NEVARES M.D. (PRESIDENT)
(954) 578-2292
Entity
Organization

Contact information

Practice address
7100 W COMMERCIAL BLVD, SUITE 105, LAUDERHILL, FL 33319-2155
(954) 578-2292
(954) 578-2330
Mailing address
7100 W COMMERCIAL BLVD, SUITE 105, LAUDERHILL, FL 33319-2155
(954) 578-2292
(954) 578-2330

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
71574
FL

Other

Enumeration date
02/17/2011
Last updated
03/21/2011
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