Individual
DR. MARIZA SOUZA PETRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
440 W 49TH ST, HIALEAH, FL 33012-3603
(305) 828-5700
(305) 461-5911
Mailing address
4960 SW 72ND AVE, SUITE 406, MIAMI, FL 33155-5544
(305) 662-5200
(305) 284-7948
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0054500
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME0054500
MEDICAL LICENSE
FL
Enumeration date
05/19/2006
Last updated
03/07/2023
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