Individual
MADELEYVIS BORIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 SE 2ND ST, MIAMI, FL 33131-2100
(786) 366-9137
Mailing address
19473 NW 87TH CT, HIALEAH, FL 33018-6216
(786) 366-9137
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
FL
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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