NPI #
1611 Nw 12Th Ave
Miami, FL, 33136-1005
11034586
FL
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
363LF0000X
1611 Nw 12Th Ave # C300
1611 Nw 12Th Ave, Miami, Fl 33136
Miami, FL, 33136-3302