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Individual

BIANCA SONIA RADUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1096
(412) 452-1668
Mailing address
11465 SW 45TH CT UNIT 112, MIRAMAR, FL 33025-7901
(412) 452-1668

Taxonomy

Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
OS19765
FL
208D00000X
General Practice Physician
342942
LA
208D00000X
General Practice Physician
Primary
OS19765
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/04/2021
Last updated
03/27/2026
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