Individual
MARISSA J DEFREITAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-6726
Mailing address
PO BOX 16960, DIVISION OF PEDIATRIC NEPHROLOGY, (M-714), MIAMI, FL 33101-6960
(954) 599-7200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME123124
FL
2080P0210X
Pediatric Nephrology Physician
Primary
ME123124
FL
Other
Enumeration date
04/08/2009
Last updated
02/08/2023
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