Co, Mary Antonette Maglalang

Co, Mary Antonette Maglalang is an sole proprietor health care provider with primary practice located at 1610 Ne Miami Gardens Dr , N Miami Beach FL 33179. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Co, Mary Antonette Maglalang can be contacted via phone (305) 940-6016.

Contact Information

Primary practice address
1610 Ne Miami Gardens Dr N Miami Beach FL 33179
Phone: (305) 940-6016
Fax: (305) 940-6167
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME134120 Florida

Profile Details

NPI number 1003255191
LBN Legal business name Co, Mary Antonette Maglalang
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2013
Last updated Sep 30th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003255191 NPPES
Florida MEDICAID 023344600

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