Provider Demographics
NPI:1669481792
Name:JURADO, MARIA ANTONIETA (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:ANTONIETA
Last Name:JURADO
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Gender:F
Credentials:MD
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Mailing Address - Street 1:9980 CENTRAL PARK BLVD N
Mailing Address - Street 2:SUITE 214
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-1762
Mailing Address - Country:US
Mailing Address - Phone:561-483-8990
Mailing Address - Fax:561-483-9003
Practice Address - Street 1:9980 CENTRAL PARK BLVD N
Practice Address - Street 2:SUITE 214
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-1762
Practice Address - Country:US
Practice Address - Phone:561-483-8990
Practice Address - Fax:561-483-9003
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-07
Last Update Date:2008-07-24
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Provider Licenses
StateLicense IDTaxonomies
FLME44734207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL04901Medicare PIN