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XIOMARA SAGRARIO PONCE MD

Psychoanalyst

Miami, Florida

Provider NPI: 1760694012

Provider Information:
 XIOMARA SAGRARIO PONCE MD
Gender: F
Sole Proprietor


Practice Location:
9380 SW 72ND ST SUITE B-120 MIAMI, FL 33173 US
Tel: 305-274-3738  Fax: 305-274-0841

Business Mailing Address:
750 NW 43RD AVE #206 MIAMI, FL 33126 US
Tel: 305-447-8606  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y102L00000XBehavioral Health & Social Service Providers
Psychoanalyst

Other Provider Identifiers:

IssuerNumberStateType
2309FL05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







PSYCHOANALYST JOBS FL - Page 1



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