Most Relevant Information
Provider Data
| NPI Number: | 1003540055 |
| Provider Name: | DAAIYAH ROUNDTREE |
| Entity Type: | Individual |
| Taxonomy Code: | 261QA0600X |
| Specialty: | Clinic/Center |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/14/2022 |
| Last Updated: | 07/14/2022 |
Provider Practice Location
1610 NW 53RD ST
MIAMI
FL
331423875
Practice Location Phone/Fax
| Phone: | 7704179947 |
| Fax: |
Provider Mailing Location
1610 NW 53RD ST
MIAMI
FL
331423875
Provider Mailing Phone/Fax
| Phone: | 7704179947 |
| Fax: |