Individual
ADALYNE PERICLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9555 SW 162ND AVE, MIAMI, FL 33196-6408
(786) 467-2154
(786) 533-9703
Mailing address
PO BOX 198054, ATLANTA, GA 30384-8054
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9107848
FL
Other
Enumeration date
08/25/2014
Last updated
05/27/2021
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