Individual
CAROL J BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1411 NW 14TH AVE, MIAMI, FL 33125-1616
(305) 325-1080
(305) 325-1044
Mailing address
1411 NW 14TH AVE, MIAMI, FL 33125-1616
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
636380
FL
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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