Individual
MIA BELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3401 N MIAMI AVE STE 230, MIAMI, FL 33127-3546
(305) 209-1920
Mailing address
3401 N MIAMI AVE STE 230, MIAMI, FL 33127-3546
(305) 209-1920
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
16849
FL
2084P0804X
Child & Adolescent Psychiatry Physician
036145092
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073994141
—
IL
Enumeration date
06/15/2015
Last updated
08/04/2021
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