Individual
JEANNE LORRAINE MONACO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP, ARNP
Contact information
Practice address
11246 SW 137TH AVE, MIAMI, FL 33186-4201
(305) 382-0020
(305) 383-2174
Mailing address
11246 SW 137TH AVE, MIAMI, FL 33186-4201
(305) 382-0020
(305) 383-2174
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
1373352
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
1373352
FL
Other
Enumeration date
03/17/2016
Last updated
03/17/2016
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