Organization
MARIA A. CARBALLOSA, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA ANTONIETA CARBALLOSA M.D. (PRESIDENT)
(305) 321-6839
Entity
Organization
Contact information
Practice address
4395 PALM AVE, HIALEAH, FL 33012-4014
(305) 821-3944
(305) 821-4301
Mailing address
4395 PALM AVE, HIALEAH, FL 33012-4014
(305) 821-3944
(305) 821-4301
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME59149
FL
Other
Enumeration date
09/20/2014
Last updated
09/20/2014
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