Provider Demographics
NPI:1740080027
Name:CLESCA, PHILIPPE HARRY
Entity type:Individual
Prefix:MR
First Name:PHILIPPE
Middle Name:HARRY
Last Name:CLESCA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12880 SW 147TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-6389
Mailing Address - Country:US
Mailing Address - Phone:305-981-2052
Mailing Address - Fax:
Practice Address - Street 1:12880 SW 147TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-6389
Practice Address - Country:US
Practice Address - Phone:305-981-2052
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171R00000XOther Service ProvidersInterpreterGroup - Single Specialty