Individual
MIRIAM ANDREA DUQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1475 NW 12TH AVE, MIAMI, FL 33136-1002
(305) 585-5886
Mailing address
1475 NW 12TH AVE, MIAMI, FL 33136-1002
(305) 585-5886
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME132655
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
TRN 17438
FL
Other
Enumeration date
05/21/2012
Last updated
07/18/2019
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