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Individual

JUDITH DE LA INCERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
423 SW 80TH AVE, MIAMI, FL 33144-2121
(786) 715-9022
Mailing address
6175 NW 153RD ST STE 404, MIAMI LAKES, FL 33014-2493
(305) 558-7400
(305) 558-6134

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11027992
FL

Other

Enumeration date
08/09/2023
Last updated
01/14/2024
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