Individual
MS. SANDRA MARIA UJUETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
5201 HOLLYWOOD BLVD, 2ND FLOOR, HOLLYWOOD, FL 33021-6422
(954) 981-5200
(954) 981-1614
Mailing address
7200 NW 19TH ST, SUITE 600, MIAMI, FL 33126-1200
(305) 500-2009
(305) 500-2145
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9102547
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9102547
PHYSICIAN ASSISTANT LICEN
FL
Enumeration date
01/04/2007
Last updated
07/08/2007
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