Organization · Type 2 NPI

Activa Medical Center & Spa

Primary Care Nurse Practitioner · Miami, FL

NPI number 1609680776 Active

Practice location

12966 SW 150th Ter
Miami, FL 33186-7601

Call (786) 406-2497 Map

Mailing address

11090 SW 64th St
Miami, FL 33173-2028

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XNone listed

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1609680776

Activa Medical Center & Spa's National Provider Identifier is 1609680776, issued on Feb 6, 2025. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Miami, FL. The record was last updated on Feb 6, 2025.