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Individual

MONINA S MABUTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
901 MEADOWS ROAD, BOCA RATON, FL 33432
(561) 416-8995
Mailing address
901 MEADOWS ROAD, BOCA RATON, FL 33432

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME89645
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16183
BLUE CROSS BLUE SHIELD
FL
05
272896600
FL
Enumeration date
08/09/2006
Last updated
10/28/2008
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