Individual
IVONNE ELISA FERNNADEZ VINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
18842 NW 78TH PL, HIALEAH, FL 33015-5272
(305) 915-5803
Mailing address
18842 NW 78TH PL, HIALEAH, FL 33015-5272
(305) 915-5803
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
11043579
FL
Other
Enumeration date
11/12/2025
Last updated
11/12/2025
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