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1104875178
MARIANELA DE LA PORTILLA
MIAMI, FL
NPI
1104875178
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: FL ME62522)
Enumeration Date
2006-05-08
Last Update Date
2014-02-12
Business Address
-- MARIANELA DE LA PORTILLA MD
330 SW 27TH AVE SUITE 302
MIAMI, FL 33135-2961
Phone number: 305-631-1220
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Mailing Address
-- MARIANELA DE LA PORTILLA MD
330 SW 27TH AVE SUITE 302
MIAMI, FL 33135-2961
Phone number: 305-631-1220
Copy
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