is a Adult Health in Homestead, Florida. practices all healthcare services and medical treatments related to Adult Health. The NPI Number for is 1316104326. The last update date is .
's current location address is 15830 Sw 252nd St, Homestead, Florida. You can contact this provider via phone number 3052837956. The mailing address for is 15830 Sw 252nd St, Homestead, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 15830 Sw 252nd St, Homestead, Florida |
| Phone Number | 3052837956 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1316104326 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 15830 Sw 252nd St |
|---|---|
| City | Homestead |
| State | Florida (FL) |
| Post Code | 330312018 |
| Phone Number | 3052837956 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adult Health |
|---|---|
| Taxonomy | 364Sa2200X |
| Licence No | ARNP9215108 |
|
Definition: An advanced practice registered nurse with expertise in specialized nursing care for adult patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 187601 | FL | -- |
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