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Individual

MR. FABIO MARIANO MEHRGUT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
16255 SW 83RD LN, MIAMI, FL 33193-5133
(786) 479-7878
(305) 246-5880
Mailing address
16255 SW 83RD LANE, MIAMI, FL 33193
(786) 479-7878
(305) 246-5880

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
168071
NY
208000000X
Pediatrics Physician
Primary
ME122911
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
012072258
NY
05
015562600
FL
Enumeration date
11/10/2005
Last updated
08/18/2021
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