Individual
MISS THALIA T AYRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
16630 SW 141ST CT, MIAMI, FL 33177-2084
(786) 515-8579
Mailing address
16630 SW 141ST CT, MIAMI, FL 33177-2084
(786) 515-8579
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
11010261
FL
Other
Enumeration date
01/03/2021
Last updated
01/03/2021
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