Individual
DR. MARIATU A VERLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
1330 BUDINGER AVE STE 206, SAINT CLOUD, FL 34769-4123
(407) 498-3763
(407) 498-3793
Mailing address
1330 BUDINGER AVE STE 206, SAINT CLOUD, FL 34769-4123
(407) 498-3763
(407) 498-3793
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME157946
FL
208D00000X
General Practice Physician
R5949
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115207100
—
FL
Enumeration date
04/11/2015
Last updated
10/07/2022
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