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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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