Individual
MAIKEL DANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4155 SW 130TH AVE, MIAMI, FL 33175-3414
(305) 455-3500
Mailing address
13780 SW 143RD STREET UNIT F, MIAMI, FL 33186
(502) 797-3124
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
19115
PR
208D00000X
General Practice Physician
Primary
ACN 725
FL
Other
Enumeration date
07/07/2015
Last updated
12/10/2015
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