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1093177529
MARINE DIDIDZE
MIAMI, FL
NPI
1093177529
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: FL ME143532)
Enumeration Date
2016-03-23
Last Update Date
2022-04-05
Business Address
MARINE DIDIDZE
1611 NW 12TH AVE
MIAMI, FL 33136-1005
Phone number: 305-585-1280
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Mailing Address
MARINE DIDIDZE
7601 E TREASURE DR PH 110
NORTH BAY VILLAGE, FL 33141-4371
Phone number:
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