Organization
MIRACLE ANGELS MED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAMILKA POUJAUD RODRIGUEZ (OWNER)
(305) 281-2494
Entity
Organization
Contact information
Practice address
5521 SW 96TH AVE, MIAMI, FL 33165-6456
(305) 479-7815
Mailing address
5521 SW 96TH AVE, MIAMI, FL 33165-6456
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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