Organization
MIRTA CAMINERO TEJEDOR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRTA CAMINERO -TEJEDOR MD (OWNER)
(305) 412-6222
Entity
Organization
Contact information
Practice address
10651 SW 88TH ST, SUITE 101, MIAMI, FL 33176-1569
(305) 412-6222
(305) 412-8333
Mailing address
10651 SW 88TH ST, SUITE 101, MIAMI, FL 33176-1569
(305) 412-6222
(305) 412-8333
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME 56828
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME56828
FLORIDA MEDICAL LICENSE
FL
Enumeration date
07/15/2008
Last updated
07/21/2008
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