Individual
MRS. BELGICA ROSA MOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2014 NE 164TH ST, NORTH MIAMI BEACH, FL 33162-4121
(305) 940-6714
(305) 940-9514
Mailing address
19350 NW 8TH ST, PEMBROKE PINES, FL 33029-3258
(954) 435-2565
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AS00001884
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085880300
—
FL
Enumeration date
02/13/2007
Last updated
07/09/2007
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