Individual
DR. MANUEL BOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
690 E 25TH ST, HIALEAH, FL 33013-3815
(305) 696-0331
(305) 696-1239
Mailing address
690 E 25TH ST, HIALEAH, FL 33013-3815
(305) 696-0331
(305) 696-1239
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0052013
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064503600
—
FL
Enumeration date
08/21/2006
Last updated
06/19/2008
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