Organization
DELORES MACKSOUD MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DELORES MACKSOUD M.D. PA (DOCTOR)
(305) 251-1373
Entity
Organization
Contact information
Practice address
12001 SW 128TH CT, SUITE 205, MIAMI, FL 33186-4664
(305) 251-1373
(305) 252-6790
Mailing address
12001 SW 128TH CT, SUITE 205, MIAMI, FL 33186-4664
(305) 251-1373
(305) 252-6790
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0051716
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049326100
—
FL
Enumeration date
02/26/2007
Last updated
01/12/2016
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