Individual
MRS. AUDREY VIVIENNE ROBERTS
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) 585-2708
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-2708
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
85500-2
FL
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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