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Specialty details in registry · Hialeah, FL

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At a glance

6135 W 8Th Ave, Hialeah, FL 33012-6537

NPPES record updated Jul 2, 2008. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

6135 W 8Th Ave
Hialeah, FL 33012-6537
Professional details: NPI, taxonomy & registry record
NPI1760693683
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
310400000X
Enumeration date
May 24, 2007
Record updated
Jul 2, 2008
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

310400000X · Primary

License reported: AL9682 FL

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

6135 W 8Th Ave
Hialeah, FL 33012-6537
Phone
(305) 558-8769
Fax
(305) 225-1289
Mailing address
6135 W 8TH AVE

HIALEAH, FL 330126537
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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