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NPI Code Detail

MEDICARE: MRS. MAYRET PADRON PA-C

MEDICARE: MRS. MAYRET PADRON PA-C
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
1363AM0700XMedical Physician AssistantPA9105353FL

Other Identifiers

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

General Provider Information

NPI Number : 1447578091
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MAYRET PADRON PA-C
Provider Business Mailing Address
First Line : 3659 S MIAMI AVE
Second Line : SUITE#5004
City : MIAMI
State : FL
Zip : 33133-4227
Country : US
Telephone Number : 305-854-0616
Fax Number : 305-854-4384
Provider Business Practice Location Address
First Line : 3659 S MIAMI AVE
Second Line : SUITE#5004
City : MIAMI
State : FL
Zip : 33133-4227
Country : US
Telephone Number : 305-854-0616
Fax Number : 305-854-4384
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2010
Last Update Date : 05/06/2010

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Directions to “ MRS. MAYRET PADRON PA-C” Practice Location

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