Organization · Type 2 NPI
SRC Profesional Corp
Family Nurse Practitioner · Miami, FL
NPI number
1447815972
Active
Practice location
13925 SW 179th St
Miami, FL 33177-7743
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
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About NPI 1447815972
SRC Profesional Corp's National Provider Identifier is 1447815972, issued on May 9, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Miami, FL. The record was last updated on May 9, 2019.