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Specialty details in registry · Miami, FL
At a glance
1421 Sw 107Th Ave # 136, Miami, FL 33174-2526
NPPES record updated Feb 10, 2010. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
1421 Sw 107Th Ave # 136Miami, FL 33174-2526
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 208D00000X
- Enumeration date
- Feb 10, 2010
- Record updated
- Feb 10, 2010
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
208D00000X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1421 Sw 107Th Ave # 136Miami, FL 33174-2526
- Phone
- (786) 316-3744
Mailing address
1421 SW 107TH AVE # 136MIAMI, FL 331742526
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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