Marissa J Defreitas
Pediatrician Pediatric Nephrologist
1611 Nw 12th Ave
Miami
, Florida 33136-1005
Marissa J Defreitas
Pediatrician Pediatric Nephrologist
1611 Nw 12th Ave
Miami
, Florida 33136-1005
(954) 599-7200
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About
Features
Specialties
- Pediatrician
- Pediatric Nephrologist
Languages spoken
- English
Location
First Address
- Marissa J Defreitas
- Po Box 16960 Division Of Pediatric Nephrology, (m-714)
- Miami, FL
- Zip : 33101-6960
- Phone : (954) 599-7200
Second Address
- Marissa J Defreitas
- 1611 Nw 12th Ave
- Miami, FL
- Zip : 33136-1005
- Phone : (305) 585-6726
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Is Marissa J Defreitas a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | ME123124 | FL |
| Y | 2080P0210X | Pediatric Nephrologist | ME123124 | FL |
National Provider Identifier
| NPI | 1861635674 |
|---|---|
| Provider Name | Marissa J Defreitas |
| First Address | Miami, FL 33101-6960 |
| Second Address | Miami, FL 33136-1005 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/04/2009 |
| Last Update Date | 04/04/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.