Provider Demographics
NPI:1710293337
Name:MIDDELHOF, MARIANA SYLVIA JOANNE (MD)
Entity Type:Individual
Prefix:
First Name:MARIANA
Middle Name:SYLVIA JOANNE
Last Name:MIDDELHOF
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:9500 S DADELAND BLVD
Mailing Address - Street 2:200
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-2824
Mailing Address - Country:US
Mailing Address - Phone:305-468-4185
Mailing Address - Fax:305-675-3378
Practice Address - Street 1:1157 S STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-6101
Practice Address - Country:US
Practice Address - Phone:561-214-6695
Practice Address - Fax:305-675-3378
Is Sole Proprietor?:No
Enumeration Date:2010-08-19
Last Update Date:2022-08-31
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Provider Licenses
StateLicense IDTaxonomies
NY2824332080P0206X
FLME1295292080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME129529OtherFL MEDICAL LICENSE