Individual
TATIANA FROUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1611 NW 12TH AVE, BOX 016960 M851, MIAMI, FL 33136-1005
(305) 243-6061
(305) 243-8470
Mailing address
1611 NW 12TH AVE, BOX 016960 M851, MIAMI, FL 33136-1005
(305) 243-6061
(305) 243-8470
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
ME83341
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263448100
—
FL
Enumeration date
04/18/2006
Last updated
02/15/2012
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