Individual
MARICELA M TASSY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
8801 SW 136TH ST, MIAMI, FL 33176-5816
(305) 542-9778
Mailing address
10341 SW 141ST ST, MIAMI, FL 33176-7007
(305) 542-9778
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101018338
MI
207P00000X
Emergency Medicine Physician
OS12206
FL
Other
Enumeration date
06/21/2009
Last updated
10/01/2024
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