Individual
MR. CARLOS MARIO VERDEZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
13780 SW 26TH ST, SUITE 203, MIAMI, FL 33175-6302
(305) 553-8033
(305) 553-8013
Mailing address
13780 SW 26TH ST, SUITE 203, MIAMI, FL 33175-6302
(305) 553-8033
(305) 553-8013
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME 97208
FL
208D00000X
General Practice Physician
ME97208
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME 97208
UNRESTRICTED MEDICAL LICE
FL
Enumeration date
10/19/2006
Last updated
09/19/2008
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