Individual
DR. DELORES MACKSOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12001 SW 128TH CT STE 205, MIAMI, FL 33186-4666
(305) 251-1373
(305) 252-6790
Mailing address
12001 SW 128TH CT STE 205, MIAMI, FL 33186-4666
(305) 251-1373
(305) 252-6790
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME0051716
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049326100
—
FL
Enumeration date
09/29/2006
Last updated
03/29/2023
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