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Organization
MDNP LLC
Active
Organization
MDNP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENRIQUE MASPONS ARNP (PRESIDENT)
(305) 456-1153
Entity
Organization
Contact information
Practice address
8850 NW 122ND ST, HIALEAH GARDENS, FL 33018-1748
(305) 351-7181
(305) 424-5580
Mailing address
16585 SW 44TH LN, MIAMI, FL 33185-3897
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
363LG0600X
Gerontology Nurse Practitioner
—
NULL
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
01/21/2016
Last updated
05/26/2016
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