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Organization

GLADYS L ANDRADE MD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GLADYS LIZZETTE ANDRADE M.D. (OWNER)
(305) 505-0460
Entity
Organization

Contact information

Practice address
5036 SW 139TH AVE, MIRAMAR, FL 33027-5953
(305) 505-0460
Mailing address
5036 SW 139TH AVE, MIRAMAR, FL 33027-5953
(305) 505-0460

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
305R00000X
FL

Other

Enumeration date
07/23/2013
Last updated
07/23/2013
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