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1710949607
LAURETTE M ELLIS
MIAMI, FL
NPI
1710949607
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: FL ME45097)
Enumeration Date
2006-04-05
Last Update Date
2007-07-08
Business Address
-- LAURETTE M ELLIS MD
3100 SW 62 AVENUE
MIAMI, FL 33155
Phone number: 305-663-8409
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Mailing Address
-- LAURETTE M ELLIS MD
PO BOX 558750
MIAMI, FL 33255-8750
Phone number: 305-663-8409
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