Individual
AIZA ALIDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136
(305) 585-1111
Mailing address
1250 S MIAMI AVE APT 1404, MIAMI, FL 33130-4107
(407) 257-7955
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME140121
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2016
Last updated
01/23/2020
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