Individual
STACEY ULLMAN VIAMONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-6970
Mailing address
1611 NW 12TH AVE, C-301, MIAMI, FL 33136-1005
(305) 585-6970
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME162138
FL
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
ME162138
FL
Other
Enumeration date
03/23/2016
Last updated
09/22/2023
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