Organization
CARLOS M VERDEZA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS MARIO VERDEZA M.D (PRESIDENT)
(305) 553-8033
Entity
Organization
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
174400000X
Specialist
Primary
ME97208
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME 97208
UNRESTRICTED MEDICAL LICE
FL
Enumeration date
04/20/2007
Last updated
09/19/2008
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