Individual
MS. MARY VICTORIA ENDRESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8950 SW 74TH CT APT 1408, MIAMI, FL 33156-3173
(305) 274-7878
Mailing address
511 SE 5TH AVE APT 1403, FORT LAUDERDALE, FL 33301-2973
(732) 779-6792
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9106917
FL
Other
Enumeration date
02/14/2013
Last updated
02/14/2013
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