Organization
PREMIER FLORIDA PODIATRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA T IBANEZ DPM (PRESIDENT)
(786) 530-7250
Entity
Organization
Contact information
Practice address
3060 NE 190TH ST APT 202, AVENTURA, FL 33180
(786) 530-7250
Mailing address
3060 NE 190TH ST APT 202, AVENTURA, FL 33180-3132
(786) 530-7250
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
03/04/2018
Last updated
07/24/2018
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