| |
7396 Sw 117th Ave, Miami, FL 33183-3813 | |
(305) 595-6207 | |
(305) 279-9211 |
Full Name | |
---|---|
Type | Facility |
Speciality | Registered Nurse - Diabetes Educator |
Location | 7396 Sw 117th Ave, Miami, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760536817 | NPI | - | NPPES |
1029479 | Other | FL | CARE PLUS |
220477 | Other | FL | AMERIGROUP |
27124 | Other | FL | WELL CARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
163WD0400X | Registered Nurse - Diabetes Educator | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
7396 Sw 117th Ave, Miami, FL 33183-3813 Ph: (305) 595-6207 | 7396 Sw 117th Ave, Miami, FL 33183-3813 Ph: (305) 595-6207 |