Provider Information for 1467693853
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AMADA TRO MS Psychology
Sex: Female
NPI: 1467693853
Last Updated: 2022-09-27
Certification Date: 2022-09-27
Certification Date: 2022-09-27
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1467693853 | ||||||||||||
| Enumeration Date | 2009-03-13 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 8545 SW 104TH ST MIAMI, FL 33156-3557 United States Phone: 305-794-1623 | Fax: | ||||||||||||
| Primary Practice Address | 3232 CORAL WAY APT 202 CORAL GABLES, FL 33145-3185 United States Phone: 305-794-1623 | Fax: | ||||||||||||
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