Individual
MANDOLIN SUMMER ZIADIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
(954) 265-2333
Mailing address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
(954) 265-2333
Taxonomy
Speciality
Code
Description
License number
State
207ZP0213X
Pediatric Pathology Physician
Primary
ME112706
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME112706
MEDICAL LICENSE
FL
Enumeration date
06/11/2007
Last updated
09/27/2012
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