Individual
DR. MARIA TERESA POL-CARBALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3520 W 18TH AVE STE 115, HIALEAH, FL 33012-4634
(786) 837-0897
(786) 837-0898
Mailing address
6100 BLUE LAGOON DR STE 365, MIAMI, FL 33126-7010
(786) 322-7333
(786) 322-7329
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
ME0060604
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372237600
—
FL
01
—
ME0060604
FLORIDA LICENSE
FL
Enumeration date
02/18/2006
Last updated
03/09/2021
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