Individual
ANAY PORTIELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
9299 SW 152ND ST STE 202, PALMETTO BAY, FL 33157-1776
(305) 255-2500
Mailing address
7112 SW 103RD PL, MIAMI, FL 33173-1377
(786) 253-3360
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9327236
FL
Other
Enumeration date
09/19/2017
Last updated
09/19/2017
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