Individual
JANELLE SUAREZ WIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1321 NW 14TH ST, MIAMI, FL 33125-1673
(305) 689-5464
Mailing address
1611 NW 12TH AVE, PO BOX 016960 (M851), MIAMI, FL 33136-1005
(305) 243-7516
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS11626
FL
Other
Enumeration date
06/27/2012
Last updated
06/24/2013
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