ROLANDO E LACAYO MD PA
Medical Practice at 40 St, Miami, FL

License number
Florida ME38875
Category
Medical Practice
Type
Specialist
Owner
Name: DR. ROLANDO E LACAYO MD
Title: OWNER
Phone: (305) 553-1253
Address
Address
11760 SW 40Th St SUITE 311, Miami, FL 33175
National Provider ID: 1023311255
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ROLANDO E. LACAYO, M.D. PA

Miami, FL

Industry:
Medical Doctor's Office
Registration:
Jan 26, 1983
Phone:
(305) 553-1253 (Phone)
Addresses:
11760 Bird Rd SUITE 311, Miami, FL 33175 (Physical)
11760 SW 40 St, Miami, FL 33175
State ID:
G22597
Business type:
Florida Profit Corporation
President, Treasurer, Secretarys:
Md Lacayo,Rolando E. Lacayo (President, Treasurer, Secretary)
Agent:
Rolando E Lacayo
EIN:
59-2315133

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