Individual
ANA MARIA B CHAVALO CAMPOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSM
Contact information
Practice address
2875 NE 191ST ST STE 500, AVENTURA, FL 33180-2832
(443) 383-9300
Mailing address
2608 S 16TH ST, FORT PIERCE, FL 34982-5717
(772) 708-6792
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11034198
FL
363LP2300X
Primary Care Nurse Practitioner
F07240198
FL
Other
Enumeration date
08/12/2024
Last updated
09/04/2024
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