Individual
MARIANA VIERA-NAVARRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3915 BISCAYNE BLVD STE 406, MIAMI, FL 33137-3737
(305) 367-1176
(877) 391-0039
Mailing address
5939 SW 27TH ST, MIAMI, FL 33155-3136
(305) 205-1314
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9102198
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9102198
PA STATE LICENSE
FL
Enumeration date
06/27/2005
Last updated
04/25/2019
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