# PROFESSIONAL NURSE PRACTITIONER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528390663
- **Authorized official:** MARGARITA HERNANDEZ ARNP (PRESIDENT)
- **Authorized official phone:** (305) 905-6994

## Contact information

- **Practice address:** 29157 SW 186TH AVE, HOMESTEAD, FL 33030-2439
- **Practice address phone:** (305) 905-6994
- **Practice address fax:** (305) 245-9994
- **Mailing address:** 29157 SW 186TH AVE, HOMESTEAD, FL 33030-2439
- **Mailing address phone:** (305) 905-6994
- **Mailing address fax:** (305) 245-9994

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | ARNP2678862 | FL | Yes |

## Other

- **Enumeration date:** 01/30/2010
- **Last updated:** 01/30/2010