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Individual

MARIA C GAVIRIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3663 S MIAMI AVE, MIAMI, FL 33133-4253
(305) 854-0616
Mailing address
PO BOX 64485, BALTIMORE, MD 21264-4485

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME130240
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
145541900
MD
01
20517
JOHNS HOPKINS HEALTHCARE
01
3745228
AETNA HMO
01
4531610
AETNA PPO
01
53102710
CAREFIRST BLUE CROSS
MD
01
8379063
CIGNA
01
F551-0026
CAREFIRST BLUE CROSS
DC
Enumeration date
11/22/2005
Last updated
02/11/2018
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