Organization
DANET PICO-LARRALDE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANET PICO-LARRALDE MD (OWNER)
(305) 608-3910
Entity
Organization
Contact information
Practice address
8785 SW 165TH AVE, SUITE 201, MIAMI, FL 33193-5826
(786) 828-7171
(786) 391-4582
Mailing address
8785 SW 165TH AVE, SUITE 201, MIAMI, FL 33193-5826
(786) 828-7171
(786) 391-4582
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME99952
FL
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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