TANISHA MAZE

MIAMI, FL
NPI1437396652
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: FL  OS10666)
Additional Taxonomies208000000X Pediatrics
(Licence: FL  OS10666)
Enumeration Date2009-01-09
Last Update Date2015-08-21
Business Address
Ms. TANISHA MAZE d.o.
1611 NW 12TH AVE
MIAMI, FL 33136-1005
Phone number: 305-585-5954
Mailing Address
Ms. TANISHA MAZE d.o.
PO BOX 680096
MIAMI, FL 33168-0096
Phone number: