Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | ME0046617 | FL |
NPI | 1023045432 |
---|---|
Provider Name | Dr. Flor Ana Mayoral |
First Address | South Miami, FL 33143-3622 |
Second Address | South Miami, FL 33143-3622 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 31/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1023045432 | 96746C (01) | FL |
1023045432 | DERMATOLOGY (01) | FL |