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Individual

MAYRA DOMINGUEZ-BURNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 666-6511
Mailing address
3100 SW 62 AVENUE, MIAMI, FL 33155-3009
(305) 666-6511

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0090306
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03375
BCBS
FL
05
272287900
FL
Enumeration date
03/10/2006
Last updated
07/21/2022
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