Individual
ELISA M URTIAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2780 SW 37TH AVE STE 206, COCONUT GROVE, FL 33133-2740
(305) 646-0112
Mailing address
2780 SW 37TH AVE STE 206, COCONUT GROVE, FL 33133-2740
(305) 646-0112
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
IMH22459
FL
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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