Individual
OTTO RENE MEJIA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5400 SW 98TH CT, MIAMI, FL 33165-7247
(305) 274-6101
Mailing address
5400 SW 98TH CT, MIAMI, FL 33165-7247
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
11010395
FL
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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