Individual
DR. MARIA ANTONIETA CARBALLOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
4395 PALM AVE, HIALEAH, FL 33012-4014
(305) 821-3944
(305) 821-4301
Mailing address
4395 PALM AVE, HIALEAH, FL 33012-4014
(305) 821-3944
(305) 821-4301
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME59149
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056791400
—
FL
Enumeration date
05/12/2006
Last updated
12/26/2024
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