is a Specialist in Miami, Florida. practices all healthcare services and medical treatments related to Specialist. The NPI Number for is 1225089808. The last update date is .
's current location address is 4995 Nw 72nd Ave, Miami, Florida. You can contact this provider via phone number 3054774049 and fax number 3054774188. The mailing address for is 4995 Nw 72nd Ave, Miami, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 4995 Nw 72nd Ave, Miami, Florida |
| Phone Number | 3054774049 |
| Fax Number | 3054774188 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1225089808 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 4995 Nw 72nd Ave |
|---|---|
| City | Miami |
| State | Florida (FL) |
| Post Code | 331665643 |
| Phone Number | 3054774049 |
| Fax Number | 3054774188 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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