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Individual

MISS MARIELA A URBINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
2760 SW 97TH AVE, SUITE 105, MIAMI, FL 33165-2684
(305) 228-3714
Mailing address
2876 SW 144TH CT, MIAMI, FL 33175-7445
(305) 228-3714
(305) 228-6153

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME75494
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
254678700
FL
Enumeration date
02/07/2007
Last updated
07/08/2007
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