Organization
AURELIO MITJANS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AURELIO MITJANS M.D. (PRESIDENT)
(305) 836-1077
Entity
Organization
Contact information
Practice address
777 E 25TH ST, SUITE 109, HIALEAH, FL 33013-3825
(305) 836-1077
Mailing address
777 E 25TH ST, SUITE 109, HIALEAH, FL 33013-3825
(305) 836-1077
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME26228
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067025100
—
FL
Enumeration date
04/20/2012
Last updated
04/20/2012
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