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Organization

BOUZA & MIRALLES MEDICAL ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MANUEL BOUZA M.D. (PRESIDENT)
(305) 696-0331
Entity
Organization

Contact information

Practice address
690 E 25TH ST, HIALEAH, FL 33013-3815
(305) 696-0331
(305) 696-1239
Mailing address
690 E 25TH ST, HIALEAH, FL 33013-3815
(305) 696-0331
(305) 696-1239

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0052013
FL

Other

Enumeration date
03/06/2009
Last updated
03/06/2009
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