Individual
RICHARD TOME IZQUIERDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1890 SW 57TH AVE STE 106, MIAMI, FL 33155-2164
(786) 536-1701
Mailing address
1890 SW 57TH AVE STE 106, MIAMI, FL 33155-2164
(786) 536-1701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11027074
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11027074
FL
Other
Enumeration date
06/20/2023
Last updated
09/11/2024
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