Individual
DR. BERTHA M. OLAZABAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1435 W 49TH PL, SUITE 301, HIALEAH, FL 33012-3197
(305) 557-2885
(305) 557-2604
Mailing address
1435 W 49TH PL, SUITE 301, HIALEAH, FL 33012-3197
(305) 557-2885
(305) 557-2604
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME53971
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063680100
—
FL
01
—
07949
BLUE CROSS / BLUE SHIELD
FL
Enumeration date
09/04/2006
Last updated
07/08/2007
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