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Organization
MIA DONNA LLC
Active
Organization
MIA DONNA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. OLGA LUCIA MARTINEZ RNP (ADMINISTRATOR)
(786) 223-5369
Entity
Organization
Contact information
Practice address
7100 W 20TH AVE STE 304, HIALEAH, FL 33016-1812
(954) 885-5030
(954) 272-9026
Mailing address
3122 SW 189TH AVE, MIRAMAR, FL 33029-5857
(786) 223-5369
(954) 272-9026
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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