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Individual

MARIA-VICTORIA DAJUD-AZUERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3030 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6308
(813) 879-4730
Mailing address
1300 SAWGRASS CORPORATE PKWY STE 200, SUNRISE, FL 33323-2823
(800) 243-3839
(855) 527-5510

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
36669
IA
208000000X
Pediatrics Physician
Primary
ME133046
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003108798A
GA
05
1568530673
IA
Enumeration date
11/30/2006
Last updated
07/21/2022
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