Individual
MARYTERY FAJARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3200 SW 60TH CT STE 302, MIAMI, FL 33155-4071
(305) 662-8330
Mailing address
3200 SW 60TH CT STE 302, MIAMI, FL 33155-4071
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
133163
FL
2084N0600X
Clinical Neurophysiology Physician
133163
FL
Other
Enumeration date
05/03/2012
Last updated
07/14/2022
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