MIRA M LOTFALLA

JACKSONVILLE, FL
NPI1164956611
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207ZP0101X Pathology, Anatomic Pathology
(Licence: FL  ME156755)
Additional Taxonomies207ZP0101X Pathology, Anatomic Pathology
(Licence: MN  28405)
207ZP0101X Pathology, Anatomic Pathology
(Licence: MN  65883)
207ZP0101X Pathology, Anatomic Pathology
(Licence: MD  D89548)
Enumeration Date2017-04-11
Last Update Date2024-05-29
Business Address
MIRA M LOTFALLA M.B.B.CH
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224-1865
Phone number: 904-953-2000
Mailing Address
MIRA M LOTFALLA M.B.B.CH
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224-1865
Phone number: 904-953-2000