Organization
MIRIAM M. LARA M.D. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIRIAM MERCEDES LARA M.D. (M.D.)
(305) 362-3969
Entity
Organization
Contact information
Practice address
2100 W 68TH ST, HIALEAH, FL 33016-1804
(305) 362-3969
(305) 362-7909
Mailing address
2100 W 68TH ST, HIALEAH, FL 33016-1804
(305) 362-3969
(305) 362-7909
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
ME0047182
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035062100
—
FL
Enumeration date
01/09/2014
Last updated
01/09/2014
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