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Individual

CAROLYN D RUNOWICZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
885 SW 109 AVE, ROOM 130, MIAMI, FL 33199-0001
(305) 348-3627
(305) 348-4261
Mailing address
11200 S.W. 8TH ST., HLS 11-693, MIAMI, FL 33199
(305) 348-0570
(305) 348-0123

Taxonomy

Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
041792
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1417923
CT
Enumeration date
06/30/2005
Last updated
09/02/2011
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