Individual
LILIANA JACQUELINE EIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 243-6466
Mailing address
1120 NW 14TH ST, 5TH FLOOR, MIAMI, FL 33136-2107
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
ME151118
FL
Other
Enumeration date
04/06/2015
Last updated
09/29/2021
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