Individual
LIANET MAMPOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14223 SW 42ND ST, MIAMI, FL 33175-6408
(786) 845-5600
(786) 363-8157
Mailing address
14223 SW 42ND ST, MIAMI, FL 33175-6408
(786) 845-5600
(786) 363-8157
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME127379
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018073600
—
FL
Enumeration date
08/21/2014
Last updated
03/09/2021
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