Individual
DHIZARAH LORRAINE MATUS DE LA PARRA PELLOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4175 W 20TH AVE, HIALEAH, FL 33012-5874
(305) 825-0300
Mailing address
4175 W 20TH AVE, HIALEAH, FL 33012-5874
(305) 825-0300
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME120011
FL
Other
Enumeration date
06/03/2011
Last updated
04/02/2025
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