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Individual

TERESA NICOLE NODAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
13734 SW 56TH ST, MIAMI, FL 33175-6020
(305) 387-7211
(305) 382-2708
Mailing address
900 S PINE ISLAND RD, SUITE 800, PLANTATION, FL 33324-3920
(954) 967-6400
(954) 965-7339

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME111944
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006264900
FL
Enumeration date
04/07/2009
Last updated
07/01/2014
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