Registry details
Type
Individual
Primary specialty
Internal Medicine, Hematology & Oncology
Enumerated
Jun 17, 2019
License(s)
38064 (FL), 4351044925 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1611 NW 12TH AVE | Miami, FL 33136-1005 | 305-585-1111 |
| LOCATION | 1475 NW 12TH AVE | Miami, FL 33136-1002 | 305-243-1000 |
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