Registry details
Type
Individual
Primary specialty
Dermatology
Enumerated
Sep 20, 2005
License(s)
ME086686 (FL), ME86686 (FL), ME086686 (FL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 20704 W DIXIE HIGHWAY | Aventura, FL 33180-1146 | 305-680-1800 |
| MAILING | 20704 W DIXIE HIGHWAY | Aventura, FL 33180-1146 | 305-680-1800 |
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