Individual
CAROLINA DEL VALLE MALAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
19748 EAST COUTRY CLUB DRIVE, AVENTURA, FL 33180-2523
(305) 846-0806
Mailing address
19748 E COUNTRY CLUB DR, AVENTURA, FL 33180-2523
(305) 846-0806
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
15-354
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15-354
SA-C
CO
Enumeration date
08/19/2016
Last updated
08/19/2016
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