Individual
DR. ADELA DINA MATTIAZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-5215
Mailing address
12162 SW 143RD LN, MIAMI, FL 33186-6081
(305) 233-7932
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9280
FL
207R00000X
Internal Medicine Physician
ME105012
FL
207RN0300X
Nephrology Physician
Primary
ME105012
FL
Other
Enumeration date
05/31/2007
Last updated
12/12/2022
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