Basic Information
| Provider Information | |||||||||
| NPI: | 1871990846 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FIORETTI MARTINS FERREIRA | ||||||||
| FirstName: | FLAVIA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2373 BROADWAY | ||||||||
| Address2: | APT1534 | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100242800 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7189134337 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1651 N SEMORAN BLVD | ||||||||
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| City: | ORLANDO | ||||||||
| State: | FL | ||||||||
| PostalCode: | 328073575 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4072491234 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/19/2014 | ||||||||
| LastUpdateDate: | 06/26/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | ME 123070 | FL | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.