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Mariella Vila Licea
NPI 1669039707 · on the registry since 2019 · sole proprietor
Practice
- Address
- 3400 Torremolinos Ave
Doral, FL 33178 - Phone
- (786) 366-1972
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-10-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida