Individual
DR. JUNIOR MAX DESTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3663 SOUTH MIAMI AVE, MIAMI, FL 33133
(202) 517-5529
Mailing address
7513 MAPLE AVE APT 305, TAKOMA PARK, MD 20912-4949
(202) 517-5529
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
26869
FL
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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