Individual
JOSE DUARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7150 W 20TH AVE, SUITE 615, HIALEAH, FL 33016-5529
(305) 822-3044
(305) 822-8782
Mailing address
7150 W 20TH AVE, SUITE 615, HIALEAH, FL 33016-5529
(305) 822-3044
(305) 822-8782
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA 9100372
LICENSE
FL
Enumeration date
01/04/2007
Last updated
07/08/2007
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