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Clarivel Bacallao
NPI 1386917813 · on the registry since 2012 · sole proprietor
Practice
- Address
- 5911 W 21st Ct
Hialeah, FL 33016 - Phone
- (786) 624-0048
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida