Petrick, Mariza Souza
Petrick, Mariza Souza is an individual health care provider with primary practice located at 440 W 49Th St , Hialeah FL 33012-3603. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Petrick, Mariza Souza can be contacted via phone (305) 828-5700.Contact Information
Primary practice address
440 W 49Th St
Hialeah FL 33012-3603
Phone: (305) 828-5700
Fax: (305) 461-5911
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME0054500 | Florida |
Profile Details
| NPI number | 1194779959 |
|---|---|
| LBN Legal business name | Petrick, Mariza Souza |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Mar 7th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194779959 | NPPES |
| Florida | Other | ME0054500 | MEDICAL LICENSE |
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