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Individual

AUDENE GARRISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1500 NW 12TH AVE, SUITE 1112, MIAMI, FL 33136-1051
(305) 585-1111
Mailing address
6270 NW 173RD ST, 221, HIALEAH, FL 33015-4551
(305) 951-0013

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME95932
FL
207RI0200X
Infectious Disease Physician
Primary
ME95932
FL

Other

Enumeration date
01/17/2008
Last updated
01/17/2008
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