Healthcare Provider Details
I. General information
NPI: 1144260373
Provider Name (Legal Business Name): PATRICIA MARIA MUELLER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/07/2006
Last Update Date: 04/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6141 SUNSET DR STE 501
SOUTH MIAMI FL
33143-5026
US
IV. Provider business mailing address
6141 SUNSET DR STE 501
SOUTH MIAMI FL
33143-5026
US
V. Phone/Fax
- Phone: 305-661-6615
- Fax: 305-661-6619
- Phone: 305-661-6615
- Fax: 305-661-6619
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RR0500X |
| Taxonomy | Rheumatology Physician |
| License Number | ME87981 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: