Individual
BRENNA ELDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 666-6511
Mailing address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
TRN13816
FL
2080P0207X
Pediatric Hematology & Oncology Physician
8228555-1205
UT
Other
Enumeration date
03/01/2012
Last updated
03/01/2012
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