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NPI Code Detail

MEDICARE: MAGALI M SELEM M,D,

MEDICARE: MAGALI M SELEM M,D,
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
1208000000XPediatrics PhysicianME0062986FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437138690
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAGALI M SELEM M,D,
Provider Business Mailing Address
First Line : PO BOX 140219
Second Line :
City : CORAL GABLES
State : FL
Zip : 33114-0219
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10300 SW 216TH ST
Second Line :
City : CUTLER BAY
State : FL
Zip : 33190-1003
Country : US
Telephone Number : 305-253-5100
Fax Number : 305-252-4837
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2006
Last Update Date : 01/04/2012

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Directions to “ MAGALI M SELEM M,D,” Practice Location

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