Provider Demographics
NPI:1780810408
Name:CHILEUITT, LAUREANO A (SA)
Entity type:Individual
Prefix:DR
First Name:LAUREANO
Middle Name:A
Last Name:CHILEUITT
Suffix:
Gender:M
Credentials:SA
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Mailing Address - Street 1:4113 STAGHORN LN
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33331-3805
Mailing Address - Country:US
Mailing Address - Phone:954-671-5800
Mailing Address - Fax:954-671-5800
Practice Address - Street 1:4113 STAGHORN LN
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33331-3805
Practice Address - Country:US
Practice Address - Phone:954-671-5800
Practice Address - Fax:954-671-5800
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-09
Last Update Date:2011-09-20
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant