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NPI Code Detail

MEDICARE: MIRIELA LLANES FMD

MEDICARE: MIRIELA LLANES FMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1083964621
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIRIELA LLANES FMD
Provider Business Mailing Address
First Line : 1275 W 47TH PL STE 303
Second Line :
City : HIALEAH
State : FL
Zip : 33012-3447
Country : US
Telephone Number : 305-825-4320
Fax Number : 305-825-8117
Provider Business Practice Location Address
First Line : 1275 W 47TH PL STE 303
Second Line :
City : HIALEAH
State : FL
Zip : 33012-3447
Country : US
Telephone Number : 305-825-4320
Fax Number : 305-825-8117
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2012
Last Update Date : 09/11/2012

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Directions to “ MIRIELA LLANES FMD” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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