Individual
MAYRE URDANETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8060 NW 155TH ST STE 201, MIAMI LAKES, FL 33016-5883
(305) 826-0606
Mailing address
7320 NW 114TH AVE, APT 204, DORAL, FL 33178-5588
(305) 826-0606
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME73691
FL
Other
Enumeration date
01/13/2006
Last updated
02/19/2013
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