Individual
AILETTE MARIA LOPEZ BOUDET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNPBC
Contact information
Practice address
9365 FONTAINEBLEAU BLVD APT E201, MIAMI, FL 33172-4643
(786) 518-5468
Mailing address
9365 FONTAINEBLEAU BLVD APT E201, MIAMI, FL 33172-4643
(786) 518-5468
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
9400356
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN9400356
FL
Other
Enumeration date
07/31/2018
Last updated
02/13/2019
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