Individual
GERALDINE SUPERVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4960 SW 72ND AVE, SUITE 406, MIAMI, FL 33155-5544
(305) 662-5200
(305) 284-7948
Mailing address
4960 SW 72ND AVE, SUITE 406, MIAMI, FL 33155-5544
(305) 662-5200
(305) 284-7948
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP3209202
FL
Other
Enumeration date
12/16/2009
Last updated
12/16/2009
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