Organization
PEDRO A SEVILLA, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEDRO A SEVILLA SAEZ-BENITO M.D. (OWNER)
(305) 458-9555
Entity
Organization
Contact information
Practice address
9066 SW 73RD CT, SUITE 2009, MIAMI, FL 33156-2964
(305) 458-9555
Mailing address
9066 SW 73RD CT, SUITE 2009, MIAMI, FL 33156-2964
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME107719
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME107719
MEDICAL LICENSE
FL
Enumeration date
08/29/2011
Last updated
08/29/2011
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