# HEALTH KTP LLC

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

## Provider details

- **NPI number:** 1942023676
- **Authorized official:** KIRA TEJADA APRN (NURSE PRACTITIONER)
- **Authorized official phone:** (786) 245-3035

## Contact information

- **Practice address:** 12955 BISCAYNE BLVD STE 200, NORTH MIAMI, FL 33181-2021
- **Practice address phone:** (786) 245-3035
- **Mailing address:** 12955 BISCAYNE BLVD STE 200, NORTH MIAMI, FL 33181-2021
- **Mailing address phone:** (786) 245-3035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/01/2024
- **Last updated:** 11/25/2024