Registry details
Type
Organization
Primary specialty
Nurse Practitioner
Enumerated
Feb 12, 2026
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 15840 SW 283RD ST | Homestead, FL 33033-1164 | 305-310-0220 |
| LOCATION | 13205 SW 137TH AVE STE 129 | Miami, FL 33186-5334 | 786-701-8124 |
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