Most Relevant Information
Provider Data
| NPI Number: | 1003255191 |
| Provider Name: | MARY ANTONETTE MAGLALANG CO M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/21/2013 |
| Last Updated: | 09/30/2020 |
Provider Practice Location
1610 NE MIAMI GARDENS DR
N MIAMI BEACH
FL
33179
Practice Location Phone/Fax
| Phone: | 3059406016 |
| Fax: | 3059406167 |
Provider Mailing Location
900 S PINE ISLAND RD STE 800
PLANTATION
FL
333243923
Provider Mailing Phone/Fax
| Phone: | 3059406016 |
| Fax: | 3059406167 |