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Individual

ELISA N MASTROMARINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
900 NW 17TH ST, MIAMI, FL 33136-1119
(305) 326-6543
(305) 326-6563
Mailing address
900 NW 17TH ST, MIAMI, FL 33136-1119
(305) 326-6543
(305) 326-6563

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9388755
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11003556
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN9388768
REGISTERED NURSE LICENSE
FL
Enumeration date
06/03/2019
Last updated
11/23/2021
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