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Organization
JBASULTO HEALTH CARE LLC
Active
Organization
JBASULTO HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANISSET BASULTO APRN-FNP (OWNER)
(786) 797-7134
Entity
Organization
Contact information
Practice address
20051 NW 77TH CT, HIALEAH, FL 33015-6419
(786) 797-7134
Mailing address
20051 NW 77TH CT, HIALEAH, FL 33015-6419
(786) 797-7134
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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