Individual
MRS. CARMEN MARIA VENEGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2385 SW 20TH ST, MIAMI, FL 33145-2507
(786) 230-7896
Mailing address
2385 SW 20TH ST, MIAMI, FL 33145-2507
(786) 230-7896
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
MA55478
FL
Other
Enumeration date
05/19/2011
Last updated
05/19/2011
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