Individual provider · Type 1 NPI
Mary Victoria Endreson, PA
Medical Physician Assistant · Miami, FL
NPI number
1457690265
Active
Practice location
8950 SW 74th Ct Apt 1408
Miami, FL 33156-3173
Mailing address
511 SE 5th Ave Apt 1403
Fort Lauderdale, FL 33301-2973
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA9106917 (FL) |
Medical Physician Assistant: Definition to come...
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About NPI 1457690265
Mary Victoria Endreson, PA's National Provider Identifier is 1457690265, issued on Feb 14, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Miami, FL. The record was last updated on Feb 14, 2013.