Individual
MS. NYDIA CEBALLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4175 W 20TH AVE, HIALEAH, FL 33012-5874
(305) 825-0300
Mailing address
11938 SW 78TH TER, MIAMI, FL 33183-3820
(305) 270-2009
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
ME21650
FL
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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