Individual
DR. HECTOR IVAN PALLAVICINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3499 W 4TH AVE, SUITE 201, HIALEAH, FL 33012-4333
(305) 558-0411
(305) 863-3802
Mailing address
3499 W 4TH AVE, SUITE 201, HIALEAH, FL 33012-4333
(305) 558-0411
(305) 863-3802
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME38774
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066747100
—
FL
Enumeration date
03/20/2006
Last updated
11/16/2010
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