Individual
MR. WICKANDER FERREIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MLT (ASCP)CM
Contact information
Practice address
18100 W DIXIE HWY STE 205, NORTH MIAMI BEACH, FL 33160-2059
(305) 704-8503
Mailing address
18100 W DIXIE HWY STE 205, NORTH MIAMI BEACH, FL 33160-2059
(305) 704-8503
Taxonomy
Speciality
Code
Description
License number
State
246Q00000X
Pathology Specialist/Technologist
Primary
TC52623
FL
246RM2200X
Medical Laboratory Technician
—
FL
Other
Enumeration date
04/05/2018
Last updated
08/06/2024
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