Individual
KANUENGNIJ SORNMAYURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1666 NW 12TH AVE, BOX 016960 (M851), MIAMI, FL 33101-6960
(305) 585-5224
(305) 243-8470
Mailing address
1666 NW 12TH AVE, BOX 016960 (M851), MIAMI, FL 33101-6960
(305) 585-5224
(305) 243-8470
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP2123392
FL
Other
Enumeration date
04/12/2006
Last updated
01/29/2013
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