Individual
ELENA MALYUTINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6200 SW 73RD ST, BOX 69, SOUTH MIAMI, FL 33143-4679
(786) 662-5465
Mailing address
6200 SW 73RD ST, BOX 69, MIAMI, FL 33143
(786) 662-5465
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME109175
FL
Other
Enumeration date
05/24/2010
Last updated
01/22/2013
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