Organization
LA MAISON MEDICAL PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYLIN VALDES LMT (PRESIDENT)
(305) 492-0010
Entity
Organization
Contact information
Practice address
6595 NW 36 STREET, SUITE 200, MIAMI, FL 33166
(305) 492-0010
(305) 492-0011
Mailing address
6595 NW 36 STREET, SUITE 200, MIAMI, FL 33166
(305) 492-0010
(305) 492-0011
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MA49444
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA49444
HEALTHCARE LICENSE
FL
Enumeration date
08/03/2009
Last updated
10/07/2009
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