Individual
GRACE VIADO BENEMERITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
318 ALHAMBRA CIR, CORAL GABLES, FL 33134-5004
(305) 446-2121
Mailing address
18103 NW 60TH CT, HIALEAH, FL 33015-5616
(305) 828-6070
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
1758402
FL
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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