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Organization

DIANA LONDONO MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANA CRISTINA LONDONO MD (PRESIDENT)
(310) 948-6680
Entity
Organization

Contact information

Practice address
219 NW 12TH AVE, SUITE C-5, MIAMI, FL 33128-2205
(305) 548-4063
Mailing address
219 NW 12TH AVE, SUITE C-5, MIAMI, FL 33128-2205
(305) 548-4063

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME116814
FL

Other

Enumeration date
10/02/2015
Last updated
10/04/2015
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