Organization
IDALIA M SANTAELLA MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IDALIA M SANTAELLA M.D. (MEDICAL DIRECTOR)
(305) 448-7213
Entity
Organization
Contact information
Practice address
2307 DOUGLAS RD, SUITE 203, MIAMI, FL 33145-3056
(305) 448-7213
(305) 448-9282
Mailing address
PO BOX 140878, CORAL GABLES, FL 33114-0878
(305) 448-7213
(305) 448-9282
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
ME 0044084
FL
Other
Enumeration date
11/17/2012
Last updated
01/23/2013
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