Individual
ANNETTE BODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15243 SW 138TH TER, MIAMI, FL 33196-5015
(305) 607-2736
Mailing address
15243 SW 138TH TER, MIAMI, FL 33196-5015
(305) 607-2736
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
APRN11026322
FL
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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