Individual
TIAGO DE ALMEIDA MACRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 393-2420
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 393-2420
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
CFM1907
FL
207LP3000X
Pediatric Anesthesiology Physician
CFM1907
FL
Other
Enumeration date
12/04/2023
Last updated
03/13/2024
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