Individual provider · Type 1 NPI

Gwendolyn Antenor

Student in an Organized Health Care Education/Training Program · Miami Shores, FL

NPI number 1114526571 Active

Practice location

11300 NE 2nd Ave
Miami Shores, FL 33161-6695

Call (541) 905-1702 Map

Mailing address

11935 NW 21st Ave
Miami, FL 33167-2712

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114526571

Gwendolyn Antenor's National Provider Identifier is 1114526571, issued on Oct 18, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Miami Shores, FL. The record was last updated on Oct 18, 2020.