Provider Information for 1740833342
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ILKEM EREN IMECE
Sex: Female
NPI: 1740833342
Last Updated: 2019-07-23
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1740833342 | ||||||||
| Enumeration Date | 2019-07-23 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 10200 NW 25TH ST STE 211 DORAL, FL 33172-5927 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 19553 SW 42ND CT MIRAMAR, FL 33029-2748 United States Phone: 786-269-3502 | Fax: | ||||||||
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