Laudelmar Fabricio Vina P.A.

NPI 1104074152 - Physician Assistant - 363A00000X

NPI Details
NPI 1104074152
Gender Male
Enumeration Date 09/03/2008
Last Updated 09/03/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
CORAL GABLES FL, 33146-1174, US
Phone (305) 781-6651
Fax (305) 669-3353
Business Location
12517 SW 95TH TER
MIAMI FL, 33186-1876, US
Phone (305) 781-6651
Taxonomy Code 363A00000X
License State Florida
License Number PA 9104706
Remove 1104074152 NPI Number

According to our database, Mr. Laudelmar Fabricio Vina P.A. NPI is 1104074152, taxonomy code is 363A00000X and license number is PA 9104706, license state is located at Florida. Laudelmar Fabricio Vina P.A. physically located at 1150 Campo Sano Ave, Coral Gables FL, 33146-1174. NPI Number Laudelmar Fabricio Vina P.A. has the Individual type.

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1104074152 NPI number is provided on an as is basis without warranty of any kind. 1104074152 is maintained by the National Plan & Provider Enumeration System. The contents of Laudelmar Fabricio Vina P.A. are for informational purposes only.