Organization
DR CONSTATINO MEDIETA
Active
Other names
DR. CONSTATINO MEDIETA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONSTATINO MEDIETA MD (OWNER)
(310) 529-9237
Entity
Organization
Contact information
Practice address
2310 S DIXIE HWY, MIAMI, FL 33133-2314
(310) 529-9237
(626) 331-3204
Mailing address
2310 S DIXIE HWY, MIAMI, FL 33133-2314
(310) 529-9237
(626) 331-3204
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
070055
FL
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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