Individual
MRS. EDDA AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
975 BAPTIST WAY, HOMESTEAD, FL 33033-7600
(786) 243-8598
Mailing address
29620 SW 165TH CT, HOMESTEAD, FL 33033-3211
(305) 713-6017
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP9211627
FL
Other
Enumeration date
10/15/2016
Last updated
02/08/2017
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