Individual
SANDRA Y MITJANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4305 E 8TH AVE STE E, HIALEAH, FL 33013
(305) 769-5601
(305) 769-0473
Mailing address
2843 SW 174TH AVE, MIRAMAR, FL 33029-5549
(305) 769-5601
(305) 769-0473
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
ME40785
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056822800
—
FL
Enumeration date
08/23/2006
Last updated
07/24/2018
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