Organization
MIRTHA E. CUEVAS, M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MADHUHSHREE DESIRAJU M.D. (PRESIDENT)
(407) 896-9250
Entity
Organization
Contact information
Practice address
2106 E HILLCREST ST, ORLANDO, FL 32803-4829
(407) 896-9250
(407) 897-7096
Mailing address
2106 E HILLCREST ST, ORLANDO, FL 32803-4829
(407) 896-9250
(407) 897-7096
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME78762
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258496400
—
FL
Enumeration date
01/30/2009
Last updated
01/30/2009
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