Individual provider · Type 1 NPI

Maryse Anne Pedoussaut, MD

Adult Medicine Physician · Miami, FL

NPI number 1881639458 Active

Practice location

800 SW 108th Ave Ste 100
Miami, FL 33174

Call (305) 348-3627 Map

Fax (305) 348-4261

Mailing address

800 SW 108th Avenue, Suite 100
Miami Lakes, FL 33014-6540

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505XME 82118 (FL)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

23 other providers at this address

Other adult medicine physician providers in Miami

See all in Miami →

About NPI 1881639458

Maryse Anne Pedoussaut, MD's National Provider Identifier is 1881639458, issued on Jun 18, 2006. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Miami, FL. The record was last updated on Sep 10, 2018.