Individual
KATSIARYNA HALAVACH-LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 ALTON RD, MIAMI BEACH, FL 33140-2948
(305) 674-2177
Mailing address
4300 ALTON RD, MIAMI BEACH, FL 33140-2948
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11002375
FL
Other
Enumeration date
10/28/2019
Last updated
01/03/2022
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