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Organization

MAYRE URDANETA MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MAYRE URDANETA MD (MEDICAL DOCTOR)
(305) 826-0606
Entity
Organization

Contact information

Practice address
8060 NORTH WEST 155 STREET, SUITE 201, MIAMI LAKES, FL 33016
(305) 826-0606
(305) 826-0630
Mailing address
8060 NORTH WEST 155 STREET, SUITE 201, MIAMI LAKES, FL 33016
(305) 826-0606
(305) 826-0630

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary

Other

Enumeration date
06/15/2011
Last updated
06/15/2011
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