Individual
MITRA SHAFIEIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10300 SW 216TH ST, CUTLER BAY, FL 33190-1003
(305) 253-5100
Mailing address
10300 SW 216TH ST, CUTLER BAY, FL 33190-1003
(305) 253-5100
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME 116632
FL
2080P0214X
Pediatric Pulmonology Physician
ME 116632
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009635800
—
FL
Enumeration date
05/31/2007
Last updated
11/12/2015
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