Wilfredo Constantino Lara Md Pllc

NPI 1063605913 - Ophthalmology - 207W00000X

NPI Details
NPI 1063605913
Enumeration Date 08/23/2007
Last Updated 05/08/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name WILFREDO CONSTANTINO WILFREDO
Position OWNER
Phone (305) 643-8871
Fax (305) 643-8872
Practice Location
351 NW 42ND AVE
SUITE 302
MIAMI FL, 33126-5683, US
Phone (305) 643-8871
Fax (305) 643-8872
Business Location
PO BOX 144336
CORAL GABLES FL, 33114-4336, US
Phone (305) 643-8871
Fax (305) 643-8872
Toxanomy
Taxonomy Code 207W00000X
License State
License Number
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According to our database, Wilfredo Constantino Lara Md Pllc NPI is 1063605913, taxonomy code is 207W00000X Wilfredo Constantino Lara Md Pllc physically located at 351 Nw 42nd Ave, Miami FL, 33126-5683. NPI Number 1033115704 has the healthcare provider type.

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1063605913 NPI number is provided on an as is basis without warranty of any kind. 1063605913 is maintained by the National Plan & Provider Enumeration System. The contents of Wilfredo Constantino Lara Md Pllc are for informational purposes only.