Individual
CASEY MINEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5955 PONCE DE LEON BLVD, CORAL GABLES, FL 33146-2423
(305) 661-1515
Mailing address
5006 SW 91ST AVE, COOPER CITY, FL 33328-3522
(754) 422-6015
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
PA9119419
FL
Other
Enumeration date
02/02/2023
Last updated
11/06/2024
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