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Individual

DOUGLAS GORDON MAYFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
11690 SW 72ND ST, MIAMI, FL 33173-2691
(305) 595-3546
(305) 595-3542
Mailing address
10161 SW 80TH ST, MIAMI, FL 33173-3908
(305) 274-6564
(305) 595-3542

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS 16891
FL

Other

Enumeration date
09/23/2011
Last updated
09/23/2011
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