Individual
MARY ANTONETTE MAGLALANG CO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1610 NE MIAMI GARDENS DR, N MIAMI BEACH, FL 33179
(305) 940-6016
(305) 940-6167
Mailing address
900 S PINE ISLAND RD STE 800, PLANTATION, FL 33324-3923
(305) 940-6016
(305) 940-6167
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME134120
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023344600
—
FL
Enumeration date
06/21/2013
Last updated
09/30/2020
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