Individual
MS. IRINA DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
20503 SW 133RD AVE, MIAMI, FL 33177-6170
(305) 726-6755
Mailing address
20503 SW 133RD AVE, MIAMI, FL 33177-6170
(305) 726-6755
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11000049
FL
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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