Organization
PROSTHETIC ART SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA D NORIEGA (OWNER PRESIDENT)
(786) 251-7974
Entity
Organization
Contact information
Practice address
14433 D DIXIE HWY, MIAMI, FL 33176
(305) 251-4525
Mailing address
7600 SW 136 ST, MIAMI, FL 33156
(786) 251-7974
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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