Individual
MAYURA PRAKASH GUJARATHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3100 SW 62ND AVE, MIAMI, FL 33155
(786) 624-3588
Mailing address
3530 SW 22ND ST, APT 706, MIAMI, FL 33145-3254
(313) 405-3302
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301091793
MI
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
ME 109789
FL
Other
Enumeration date
09/09/2008
Last updated
10/19/2012
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