Individual
MIGUEL AUGUSTO DAZA SUNIAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
11551 LAKESIDE DR APT 7104, DORAL, FL 33178-3020
(239) 285-1798
Mailing address
11551 LAKESIDE DR APT 7104, DORAL, FL 33178-3020
(239) 285-1798
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
19-252
FL
Other
Enumeration date
02/22/2020
Last updated
02/22/2020
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