Individual provider · Type 1 NPI
Ivan A. Bertot
Family Nurse Practitioner · Miami Lakes, FL
NPI number
1356949192
Active
Practice location
8757 NW 139th Ter
Miami Lakes, FL 33018-7379
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 11009321 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1356949192
Ivan A. Bertot's National Provider Identifier is 1356949192, issued on Oct 14, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Miami Lakes, FL. The record was last updated on Oct 14, 2020.