Individual
LYDIA MASUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8701 SW 128TH ST, MIAMI, FL 33176-5952
(305) 234-1700
(305) 234-9966
Mailing address
8701 SW 128TH ST, MIAMI, FL 33176-5952
(305) 234-1700
(305) 234-9966
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0044012
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
96700
BCBS FL
FL
Enumeration date
08/18/2006
Last updated
07/08/2007
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