Organization
DR SANDRA Y. MITJANS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA YVONNE MITJANS MD (PRESIDENT)
(305) 835-0700
Entity
Organization
Contact information
Practice address
700 E 25TH ST, HIALEAH, FL 33013-3817
(305) 835-0700
(305) 696-0963
Mailing address
700 E 25TH ST, HIALEAH, FL 33013-3817
(305) 835-0700
(305) 696-0963
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME40785
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056822800
—
FL
Enumeration date
09/05/2014
Last updated
09/05/2014
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