Individual
MARIA J BERTOLI AVELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3610 SW 106 AVE, MIAMI, FL 33165
(786) 395-4635
Mailing address
3610 SW 106TH AVE, MIAMI, FL 33165-3627
(786) 395-4635
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME114727
FL
Other
Enumeration date
03/19/2009
Last updated
03/18/2015
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