Provider Demographics
NPI:1023045432
Name:MAYORAL, FLOR ANA (MD)
Entity Type:Individual
Prefix:DR
First Name:FLOR
Middle Name:ANA
Last Name:MAYORAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6705 S RED RD
Mailing Address - Street 2:SUITE 314
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-3622
Mailing Address - Country:US
Mailing Address - Phone:305-665-6166
Mailing Address - Fax:305-662-4649
Practice Address - Street 1:6705 S RED RD
Practice Address - Street 2:SUITE 314
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-3622
Practice Address - Country:US
Practice Address - Phone:305-665-6166
Practice Address - Fax:305-662-4649
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0046617207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1023045432Other96746C
FL1023045432OtherDERMATOLOGY