Individual
MISS MIRTA PLASENCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4445 W 16TH AVE STE 602, HIALEAH, FL 33012-2960
(786) 334-5663
(786) 786-4315
Mailing address
4445 W 16TH AVE STE 602, HIALEAH, FL 33012-2960
(786) 334-5663
(786) 786-4315
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MA58262
FL
Other
Enumeration date
05/19/2010
Last updated
07/05/2023
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