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LOIDA MERCEDES SEVERINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3601 FEDERAL HWY, MIAMI, FL 33137-3795
(305) 576-6611
(786) 476-2816
Mailing address
3601 FEDERAL HWY, MIAMI, FL 33137-3795
(305) 576-6611
(786) 476-2819

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ACN183
FL
208000000X
Pediatrics Physician
Primary
ACN183
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
265235800
FL
Enumeration date
12/27/2006
Last updated
09/09/2022
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