Individual
NILZA KALLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5555 PONCE DE LEON BLVD, MIAMI, FL 33143-4721
(305) 689-0695
Mailing address
5555 PONCE DE LEON BLVD, MIAMI, FL 33143-4721
(305) 689-0695
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
24066
FL
2085R0202X
Diagnostic Radiology Physician
ME24066
FL
2085U0001X
Diagnostic Ultrasound Physician
24066
FL
Other
Enumeration date
10/17/2006
Last updated
12/08/2016
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