Individual
MYRDENTZ PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R. N.
Contact information
Practice address
8175 NW 12TH ST, SUITE 306, DORAL, FL 33126-1828
(786) 845-0173
(786) 845-0176
Mailing address
8175 NW 12TH ST, SUITE 306, DORAL, FL 33126-1828
(786) 845-0173
(786) 845-0176
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 9267188
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720171895
MIAMI DADE COUNTY HEALTH DEPARTMENT - NPI NUMBER
FL
Enumeration date
07/06/2009
Last updated
07/06/2009
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