Organization
MIAMI FEET LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUNILDA DUCELLARI DPM (PRESIDENT)
(305) 335-1143
Entity
Organization
Contact information
Practice address
18296 NW 61ST PL, HIALEAH, FL 33015-5603
(305) 335-1143
Mailing address
18296 NW 61ST PL, HIALEAH, FL 33015-5603
(305) 335-1143
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO3575
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PO3575
LICENSE
FL
Enumeration date
08/20/2013
Last updated
08/20/2013
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