Individual
MRS. DANAYDEZ FRAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10701 SW 34TH ST, MIAMI, FL 33165-3614
(305) 559-9065
Mailing address
10701 SW 34TH ST, MIAMI, FL 33165-3614
(305) 559-9065
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
230541100
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
230541100
—
FL
Enumeration date
04/24/2008
Last updated
04/24/2008
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