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Organization
RETROMODERNO PRIMARY CARE CORP
Active
Organization
RETROMODERNO PRIMARY CARE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YULIET VARONA LEYVA APRN (OWNER)
(786) 414-0990
Entity
Organization
Contact information
Practice address
8040 NW 95TH ST STE 109, HIALEAH GARDENS, FL 33016-2360
(786) 414-0990
Mailing address
8040 NW 95TH ST STE 109, HIALEAH GARDENS, FL 33016-2360
(786) 414-0990
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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