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BEATRIZ ILEANA PORTUONDO SAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PS47405

Contact information

Practice address
13780 SW 26TH ST STE 108, MIAMI, FL 33175-6302
(305) 424-7212
(305) 424-7324
Mailing address
8221 SW 186TH ST, CUTLER BAY, FL 33157-7353
(786) 587-3341
(305) 424-7324

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS47405
FL

Other

Enumeration date
09/28/2023
Last updated
09/28/2023
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