Individual
BLEYDIS PORRAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11750 SW 40TH ST, MIAMI, FL 33175-3530
(305) 223-3000
Mailing address
9051 SW 215TH TER, CUTLER BAY, FL 33189-3851
(305) 972-3149
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
HSE22303
FL
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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