Yonique Petrece Petgrave M.D.

NPI 1235545849 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1235545849
Gender Female
Enumeration Date 07/02/2014
Last Updated 07/10/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
1611 NW 12TH AVE
DEPARTMENT OF PEDIATRICS ROOM 6006
MIAMI FL, 33136-1005, US
Phone (305) 585-6042
Fax
Business Location
1400 NW 10TH AVE
MIAMI FL, 33136-1000, US
Phone (786) 451-1325
Fax
Toxanomy
Taxonomy Code 390200000X
License State Florida
License Number 19723
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According to our database, Dr. Yonique Petrece Petgrave M.D. NPI is 1235545849, taxonomy code is 390200000X and license number is 19723, license state is located at Florida. Yonique Petrece Petgrave M.D. physically located at 1611 Nw 12th Ave, Miami FL, 33136-1005. NPI Number Yonique Petrece Petgrave M.D. has the Individual type.

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1235545849 NPI number is provided on an as is basis without warranty of any kind. 1235545849 is maintained by the National Plan & Provider Enumeration System. The contents of Yonique Petrece Petgrave M.D. are for informational purposes only.