Registry details
Type
Organization
Primary specialty
Nurse Practitioner, Family
Enumerated
Feb 27, 2026
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1 MAIN ST APT 350 | Miramar, FL 33025-8213 | |
| LOCATION | 2390 NE 186TH ST STE 4 | Miami, FL 33180-2908 | 305-848-6684 |
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