Organization
MIAMI SHORES PEDIATRICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA FERNANDEZ ORTIZ MD (PRESIDENT)
(305) 757-8040
Entity
Organization
Contact information
Practice address
9715 NE 2ND AVE, MIAMI SHORES, FL 33138-2310
(305) 757-8040
(305) 757-8011
Mailing address
9715 NE 2ND AVE, MIAMI SHORES, FL 33138-2310
(305) 757-8040
(305) 757-8011
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548776503
NPI
FL
Enumeration date
03/23/2018
Last updated
04/09/2018
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