Individual
MARIE ALTAGRACIA ALIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-7443
(305) 585-6872
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-7443
(305) 585-6872
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2717242
FL
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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